Paul Peyton Brown, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NN05032500 Issued in NJ

Practice address

326 Penn St
Rutgers University Student Health Services
Camden, NJ 08102-1410

Phone

(856) 225-6005

Fax

(856) 225-6005

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891815395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PENN ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021637",
            "telephone_number": "609-923-1866",
            "fax_number": "856-225-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 PENN ST",
            "address_2": "RUTGERS UNIVERSITY STUDENT HEALTH SERVICES",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021410",
            "telephone_number": "856-225-6005",
            "fax_number": "856-225-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAUL",
        "middle_name": "PEYTON",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN05032500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN STATE LICENSE",
            "identifier": "26NN05032500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "P00079000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "26NO05032500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Brotman, MD
• Alyssa Nicole Brown, MD
• Carlisa M Brown, AGACNP
• Danielle Elizabeth Brown, PA-C
• Margaret E Brown, MSW,LCSW,SSW
• Rebecca Brown
• Robert Theodore Brown, M.D.
• Stephnie Brown, APP
• Paula A Bruckler, D.O.
• Christian Michael Bruni, MD

• Nurse Practitioner in Camden, NJ
• Providers in Camden, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.