Active NPI
Jeannet Brutus, RN
- Registered Nurse
- Central Islip, NY
National Provider Identifier
1730749409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 748478
- Practice address
- 199 Hawthorne Ave Apt 55
Central Islip, NY 11722-5101 - Phone
- (631) 336-6884
- NPI assigned
- Jun 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 748478 | NY | Primary |
Addresses
Primary practice location
199 Hawthorne Ave Apt 55
Central Islip, NY 11722-5101
Mailing address
199 Hawthorne Ave Apt 55
Central Islip, NY 11722-5101
Phone (631) 336-6884
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | java |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 748478 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560643200000",
"number": "1730749409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 HAWTHORNE AVE APT 55",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117225101",
"telephone_number": "631-336-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 HAWTHORNE AVE APT 55",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117225101",
"telephone_number": "631-336-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTUS",
"first_name": "JEANNET",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-16",
"last_updated": "2019-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "748478",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "java",
"affiliation": "N",
"address_1": "199 Hawthorne Ave Apt 55",
"city": "Central Islip",
"state": "NY",
"country_code": "US",
"postal_code": "117225101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.