Individual provider Active NPI

Hilda Selasi Seckley-Brown

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1790403194
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347536 Issued in NY
Practice address
1540 Pelham Pkwy S Apt 6K
Bronx, NY 10461-1132
Phone
(347) 341-9732
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347536 NY Primary

Addresses

Primary practice location

1540 Pelham Pkwy S Apt 6K
Bronx, NY 10461-1132

Mailing address

1540 Pelham Pkwy S Apt 6K
Bronx, NY 10461-1132
Phone (347) 341-9732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260507004165 NY Practitioner - Nurse Practitioner 0446728455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Hicksville Rd
Bethpage, NY 11714-3471

700 Hicksville Rd
Suite 205
Bethpage, NY 11714-3472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F347536NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: hilda.seckley-brown.1@24989.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1790403194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PELHAM PKWY S APT 6K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611132",
            "telephone_number": "347-341-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 PELHAM PKWY S APT 6K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611132",
            "telephone_number": "347-341-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKLEY-BROWN",
        "first_name": "HILDA",
        "middle_name": "SELASI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.