Active NPI
Andre Brutus
- Infectious Disease Physician
- Brooklyn, NY
National Provider Identifier
1760425458
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 189086
- Practice address
- 650 Fulton Street
Brooklyn Plaza Medical Center
Brooklyn, NY 11217-1517 - Phone
- (718) 596-9800
- NPI assigned
- Jun 13, 2006
- Last updated
- Sep 12, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 189086 | NY | Primary |
Addresses
Primary practice location
650 Fulton Street
Brooklyn Plaza Medical Center
Brooklyn, NY 11217-1517
Mailing address
89-06 135TH Street
Suite 7L
Jamaica, NY 11418
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189086 | NY | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1760425458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89-06 135TH STREET",
"address_2": "SUITE 7L",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FULTON STREET",
"address_2": "BROOKLYN PLAZA MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171517",
"telephone_number": "718-596-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTUS",
"first_name": "ANDRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "189086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.