Individual provider Active NPI

Amrusha Musunuru, MBBS

  • Student in an Organized Health Care Education/Training Program
  • Brookdale, NY
National Provider Identifier
1811516560
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Room 222 CHC, Department of Surgical Services, the Broo
Brookdale, NY 11212
Phone
(718) 240-6386
Fax
(718) 240-6738
NPI assigned
Apr 13, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

Room 222 CHC, Department of Surgical Services, the Broo
Brookdale, NY 11212

Mailing address

Room 222 CHC, Department of Surgical Services, the Broo
Brookdale, NY 11212
Phone (718) 240-6386

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

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1811516560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROOM 222 CHC, DEPARTMENT OF SURGICAL SERVICES, THE BROO",
            "city": "BROOKDALE",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-6386",
            "fax_number": "718-240-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROOM 222 CHC, DEPARTMENT OF SURGICAL SERVICES, THE BROO",
            "city": "BROOKDALE",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-6386",
            "fax_number": "718-240-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSUNURU",
        "first_name": "AMRUSHA",
        "name_prefix": "Ms.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.