Active NPI
Jose Renato Da Costa Nobrega, MD
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
National Provider Identifier
1982392361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- One Brookdale Plaza, the Brookdale University Hospital
Department of Surgical Services, Room 222
Brooklyn, NY 11212 - Phone
- (718) 240-6386
- NPI assigned
- Apr 25, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
One Brookdale Plaza, the Brookdale University Hospital
Department of Surgical Services, Room 222
Brooklyn, NY 11212
Mailing address
One Brookdale Plaza, the Brookdale University Hospital
Department of Surgical Services, Room 222
Brooklyn, NY 11212
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1982392361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BROOKDALE PLAZA, THE BROOKDALE UNIVERSITY HOSPITAL",
"address_2": "DEPARTMENT OF SURGICAL SERVICES, ROOM 222",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BROOKDALE PLAZA, THE BROOKDALE UNIVERSITY HOSPITAL",
"address_2": "DEPARTMENT OF SURGICAL SERVICES, ROOM 222",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-240-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DA COSTA NOBREGA",
"first_name": "JOSE RENATO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-25",
"last_updated": "2023-10-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.