Active NPI
Ahuva Brown, PA
- Physician Assistant
- New York, NY
National Provider Identifier
1831677327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 022389-1
- Practice address
- 161 Madison Ave
New York, NY 10016-5421 - Phone
- (212) 750-7404
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022389-1 | NY | Primary |
Addresses
Primary practice location
161 Madison Ave
New York, NY 10016-5421
Mailing address
14127 70TH Ave
Flushing, NY 11367-1927
Phone (718) 501-5455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210105003204 | NY | Practitioner - Physician Assistant | 3779996079 | Reassigns benefits to 2 organizations |
| I20240320003473 | NJ | Practitioner - Physician Assistant | 3779996079 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022389 | NY | MD | Occupational Therapist |
| 022389-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pak Podiatry | Past | Accepting new patients |
Interoperability endpoints
- ahuva.brown.1@25202.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Jackson Heights, NY
- NPI 1528310398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1831677327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14127 70TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671927",
"telephone_number": "718-501-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165421",
"telephone_number": "212-750-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AHUVA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "022389-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.