Active NPI
Brynne Kathleen Nosko, PA
- Physician Assistant
- Cicero, NY
National Provider Identifier
1861655896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012770
- Practice address
- 5586 Legionnaire Dr
Suite 1
Cicero, NY 13039-3504 - Phone
- (315) 699-2837
- Fax
- (315) 752-9506
- NPI assigned
- Jul 9, 2008
- 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 | 012770 | NY | Primary |
Addresses
Primary practice location
5586 Legionnaire Dr
Suite 1
Cicero, NY 13039-3504
Mailing address
5586 Legionnaire Dr
Suite 1
Cicero, NY 13039-3504
Phone (315) 699-2837
Other names 1
- Miss Brynne Kathleen Rudmann
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates of Central New York, P.C. | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Cicero, NY
- NPI 1811914567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1861655896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5586 LEGIONNAIRE DR",
"address_2": "SUITE 1",
"city": "CICERO",
"state": "NY",
"postal_code": "130393504",
"telephone_number": "315-699-2837",
"fax_number": "315-752-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5586 LEGIONNAIRE DR",
"address_2": "SUITE 1",
"city": "CICERO",
"state": "NY",
"postal_code": "130393504",
"telephone_number": "315-699-2837",
"fax_number": "315-752-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSKO",
"first_name": "BRYNNE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRYNNE",
"last_name": "RUDMANN",
"middle_name": "KATHLEEN",
"prefix": "MISS",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
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- Molly Paciorek, LMHC
- Jessica M Palmiero, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.