Individual provider Active NPI

Lemarra Rena Brown, DPM, DO

  • Family Medicine Physician
  • Galloway, NJ
National Provider Identifier
1710120407
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB10111600 Issued in NJ
Practice address
408 Chris Gaupp Dr Ste 100
Galloway, NJ 08205-4492
Phone
(609) 748-5015
NPI assigned
Apr 11, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB10111600 NJ Primary
Internal Medicine Physician 207R00000X 25MB10111600 NJ

Addresses

Primary practice location

408 Chris Gaupp Dr Ste 100
Galloway, NJ 08205-4492

Mailing address

2500 English Creek Ave Ste 600
Egg Harbor Township, NJ 08234-5549
Phone (609) 407-2337

Other practice location 1

310 Chris Gaupp Dr Ste 102
Galloway, NJ 08205-4461
Phone (609) 652-9933

Other practice location 2

1 Brewery Sq Apt T201
New Haven, CT 06513-4376
Phone (203) 996-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920000316 NJ Practitioner - Family Practice 7012281751 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC CurrentSince Apr 1, 2023 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Aug 20, 2017 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
NJ Certified Dermatology PC CurrentSince Apr 1, 2023 Accepting new patients
Atlanticare Physician Group CurrentSince Aug 20, 2017 Accepting new patients
Absecon Medical Associates LLC Internal Medicine PastSince Jan 18, 2002 Accepting new patients

Locations

310 Chris Gaupp Dr
Ste 102
Galloway, NJ 08205
Phone (609) 652-9933

415 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 652-5577

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710120407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE STE 600",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-407-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CHRIS GAUPP DR STE 100",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054492",
            "telephone_number": "609-748-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Chris Gaupp Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082054461",
            "country_code": "US",
            "telephone_number": "609-652-9933",
            "fax_number": "609-652-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brewery Sq Apt T201",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065134376",
            "country_code": "US",
            "telephone_number": "203-996-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LEMARRA",
        "middle_name": "RENA",
        "name_prefix": "Ms.",
        "credential": "DPM, DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10111600",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10111600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.