Individual provider Active NPI

Liza Maritza Brown-Joseph, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1942687611
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306980 Issued in NY
Practice address
180 Lott St
Brooklyn, NY 11226-5424
Phone
(347) 788-9433
NPI assigned
May 1, 2015
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306980 NY Primary

Addresses

Primary practice location

180 Lott St
Brooklyn, NY 11226-5424

Mailing address

5030 Broadway
Ste 816
New York, NY 10034-1670
Phone (212) 567-4918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322000608 NY Practitioner - Nurse Practitioner 6305143173 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel S Berman MD Infectious Diseases PCGroup PAC ID 2567723562, 17 clinicians

Practice addresses (Care Compare)

1235 Pelham Pkwy N
Bronx, NY 10469-5817
Phone (718) 231-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306980NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of the Future Medgroup PLLC CurrentSince Feb 25, 2016 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Medical Diagnostics of Rockland PC CurrentSince Jul 1, 2022 Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. CurrentSince Nov 1, 2023 Accepting new patients
Balance Medical Professional Primary Services PLLC Past Accepting new patients
Metropolis Medical PC Past Accepting new patients

Locations

1235 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 231-4300

2910 Exterior St
Fl 1
Bronx, NY 10463
Phone (212) 567-4918

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

491 State Route 208
Monroe, NY 10950
Phone (845) 977-4121

491 State Route 208
Ste 104
Monroe, NY 10950
Phone (718) 845-8900

491 State Route 208
Ste 211
Monroe, NY 10950
Phone (718) 633-7828

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1942687611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY",
            "address_2": "STE 816",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341670",
            "telephone_number": "212-567-4918",
            "fax_number": "212-567-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LOTT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265424",
            "telephone_number": "347-788-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-JOSEPH",
        "first_name": "LIZA",
        "middle_name": "MARITZA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.