Organization Active NPI

Brandon Howard MD LLC

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1710431101
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08457400 Issued in NJ
Legal business name
BRANDON HOWARD MD LLC
Practice address
20 Prospect Ave
Suite 905
Hackensack, NJ 07601-1997
Phone
(201) 336-0095
Fax
(201) 820-0817
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Dr. Brandon Howard, MDNPI 1720267081
Title
Physician/ Owner
Phone
(201) 336-0095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08457400 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
Suite 905
Hackensack, NJ 07601-1997

Mailing address

415 Myrtle Ave
Fort Lee, NJ 07024-3912
Phone (201) 336-0095

Other identifiers 1

IdentifierTypeStateIssuer
1821467085OtherNJNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124001357 NJ Part B Supplier - Clinic/Group Practice 0547613754 Receives reassigned benefits from 2 practitioners
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

20 Prospect Ave
Ste 905
Hackensack, NJ 07601
Phone (201) 336-0095

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1710431101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MYRTLE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243912",
            "telephone_number": "201-336-0095",
            "fax_number": "201-820-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 905",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-336-0095",
            "fax_number": "201-820-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON HOWARD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "201-336-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08457400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821467085",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.