NPIMap

Organization Active NPI

Mary Anne Brazinski DPM PA

  • Durable Medical Equipment & Medical Supplies
  • Basking Ridge, NJ
National Provider Identifier
1790969202
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD01616 Issued in NJ
Legal business name
MARY ANNE BRAZINSKI DPM PA
Practice address
3453 Valley Rd
Basking Ridge, NJ 07920-2655
Phone
(908) 604-2277
Fax
(908) 604-6219
NPI assigned
Dec 19, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Mary Anne Brazinski, DPMNPI 1306849906
Title
Doctor
Phone
(908) 604-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD0616 NJ
Durable Medical Equipment & Medical Supplies 332B00000X MD01616 NJ Primary

Addresses

Primary practice location

3453 Valley Rd
Basking Ridge, NJ 07920-2655

Mailing address

3453 Valley Rd
Basking Ridge, NJ 07920-2655
Phone (908) 604-2277

Other identifiers 4

IdentifierTypeStateIssuer
TS115OtherNJOXFORD
1502167001OtherNJCIGNA
1821202MedicaidNJ
392906OtherNJUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1790969202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 VALLEY RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202655",
            "telephone_number": "908-604-2277",
            "fax_number": "908-604-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 VALLEY RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202655",
            "telephone_number": "908-604-2277",
            "fax_number": "908-604-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANNE BRAZINSKI DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BRAZINSKI",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "908-604-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD0616",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "MD01616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "TS115",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1502167001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821202",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "392906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.