Active NPI
Anthony Brewer
- Supports Brokerage Agency
- Brooklyn, NY
National Provider Identifier
1891649901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- License
- 10491208573
- Practice address
- 434 Rockaway Ave
Brooklyn, NY 11212-5636 - Phone
- (347) 651-6366
- NPI assigned
- Feb 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | 10491208573 | NY | Primary |
Addresses
Primary practice location
434 Rockaway Ave
Brooklyn, NY 11212-5636
Mailing address
434 Rockaway Ave
Brooklyn, NY 11212-5636
Phone (347) 651-6366
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10491208573 | NY | MD | Supports Brokerage Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northernstar Youth Initiative | Supports Brokerage | Current | Accepting new patients |
Locations
434 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 346-2628
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.
-
- Supports Brokerage Agency
- Brooklyn, NY
- NPI 1639695042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1891649901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 ROCKAWAY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125636",
"telephone_number": "347-651-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 ROCKAWAY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125636",
"telephone_number": "347-651-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-25",
"last_updated": "2026-02-25",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": "NY",
"license": "10491208573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.