Brendon Justin Phalen, M.D. M.B.A.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

243646 Issued in NY

Practice address

38 Greene St FL 4
New York, NY 10013-2505

Phone

(212) 920-2400

Fax

(212) 920-2499

NPI assigned

Apr 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1801030606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 88TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280539",
            "telephone_number": "917-848-8255",
            "fax_number": "212-920-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GREENE ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132505",
            "telephone_number": "212-920-2400",
            "fax_number": "212-920-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHALEN",
        "first_name": "BRENDON",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D. M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis A Pflum Jr., MD
• PG Dental
• Shruti Amit Phadnis, M.B.B.S.
• Rattanaporn Phalasri, RN
• Ashley Phalen, FNP
• Allis Pham, DPT, MS
• An Pham
• Catherine Baoanh Pham
• Christine Pham, MD
• Christopher O'Connor Pham, MD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.