Patricia J Brims, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010992 Issued in NY

Practice address

2780 Middle Country Rd Ste 140
Lake Grove, NY 11755-2120

Phone

(631) 580-1000

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Patricia Josephine Gregory Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pbrims381072@direct.rochesterregional.org

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.

• Comprehensive Healhtcare and Medical Services PLLC

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  • New York, NY
  • NPI 1427030899
  NPD (past)
• Doral Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1558051482
  NPD (past)
• Mid Island Medical Associates, PLLC

  • Internal Medicine Physician
  • Center Moriches, NY
  • NPI 1023905247
  NPD (past)
• New York Medical and Cardiovascular Services, PC

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1235432410
  NPD (past)
• Cardio-Med Services LLC

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1255313623
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912094426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARTINGALE GATE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803546",
            "telephone_number": "201-208-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 MIDDLE COUNTRY RD STE 140",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552120",
            "telephone_number": "631-580-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1957 Southern Blvd.",
            "address_2": "bronx multispecialty clinic",
            "address_purpose": "LOCATION",
            "city": "bronx",
            "state": "NY",
            "postal_code": "104602026",
            "country_code": "US",
            "telephone_number": "631-332-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIMS",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010992",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "010992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GREGORY",
            "middle_name": "JOSEPHINE",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edward M Bram, D.M.D.
• Robert Branca, DDS
• Dawn P Brauer, M.S.P.T., C.I.M.I.
• Andrew Zotos Breslin, LMSW
• Brian K. Berliner, O.D., P.C.
• Alicja Bugnacka, RN
• Kamalpreet Buttar, M.D.
• Rachel Calire
• Dana Cameron, R.N.
• Valencia Candio

• Physician Assistant in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.