Active NPI
Michelle Brown, AGNP-C
- Gerontology Nurse Practitioner
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 308515
- Practice address
- 3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005 - Phone
- (855) 201-4988
- NPI assigned
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN182422 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | 308515 | NY | Primary |
Addresses
Primary practice location
3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005
Mailing address
616 FM 1960 Rd W
Ste 230
Houston, TX 77090-3024
Phone (877) 749-7428
Other practice location 1
70 Homestead Way
Covington, GA 30014-7608
Phone (845) 591-2799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Old Country Rd
Suite 285
Carle Place, NY 11514-1824
Phone (973) 942-6005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308515 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Medical Services of New York, PLLC | Current | Accepting new patients | |
| Post-Acute Physicians of Georgia P.C. | Current | Accepting new patients | |
| Allied Medical of Ny PC | Current | Accepting new patients | |
| World Chiropractic Incorporated | Past | Accepting new patients |
Locations
450 N Candler St
Decatur, GA 30030
Phone (404) 501-6100
2121 Fountain Dr
Ste D
Snellville, GA 30078
Phone (770) 674-4888
510 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-7555
1 Old Country Rd
Ste 285
Carle Place, NY 11514
Phone (973) 942-6005
1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610
616 FM 1960 Rd W
Ste 230
Houston, TX 77090
Phone (832) 484-8100
Interoperability endpoints
- mibrown@landmarkhealth-direct.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Carle Place, NY
- NPI 1730961061
-
- Family Medicine Physician
- Whitestone, NY
- NPI 1669178448
-
- Physical Medicine & Rehabilitation Physician
- Snellville, GA
- NPI 1316104698
-
- Chiropractor
- Wayne, NJ
- NPI 1376611855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1790153005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 FM 1960 RD W",
"address_2": "STE 230",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770903024",
"telephone_number": "877-749-7428",
"fax_number": "512-628-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MARCUS AVE STE 2W15",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421005",
"telephone_number": "855-201-4988"
}
],
"practiceLocations": [
{
"address_1": "70 Homestead Way",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "300147608",
"country_code": "US",
"telephone_number": "845-591-2799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MICHELLE",
"credential": "AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN182422",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "308515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.