Individual provider Active NPI

Shari Eileen Brasner, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1750495842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
191295 Issued in NY
Practice address
1125 Park Ave
New York, NY 10128-1243
Phone
(917) 492-9200
Fax
(917) 492-8129
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 191295 NY Primary

Addresses

Primary practice location

1125 Park Ave
New York, NY 10128-1243

Mailing address

1125 Park Ave
New York, NY 10128-1243
Phone (917) 492-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brasner Blumberg & Amaru MD LLP Obstetrics & Gynecology CurrentSince Apr 4, 2018 Accepting new patients
Peter B. Liebert, M.D., P.C. Past Accepting new patients

Organizations & group practices 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750495842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281243",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281243",
            "telephone_number": "917-492-9200",
            "fax_number": "917-492-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASNER",
        "first_name": "SHARI",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "191295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.