MR. MARK BROWN , NPI 1932334661 — NEW YORK (NY)

NPI 1932334661

10+ Years Experience Individual

MR. MARK BROWN

05/26/2009
PROVIDER ENUMERATION DATE
05/26/2009
LAST UPDATE DATE
1932334661
NPI NUMBER

About MR. MARK BROWN

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MR. MARK BROWN is a provider established in NEW YORK, NY. The NPI number of MR. MARK BROWN is 1932334661 and was assigned on 05/26/2009. The practitioners primary taxonomy code is: 320600000X with license number: 20159 NY .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100343104
  • Phone: 6464100341
  • Address: 4865 BROADWAY APT 4W

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1932334661
  • Phone : 6464100341
  • Postalcode : 100343104
  • Address : 4865 BROADWAY APT 4W

Provider taxonomy - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

  • Taxonomy code: 320600000X
  • License number: 20159
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.

Contacts:

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  • MR. MARK BROWN
  • Address : 4865 BROADWAY APT 4W
  • Region : NEW YORK, NY
  • NPI : 1932334661
  • Phone : 6464100341
  • Postalcode : 100343104

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address4865 BROADWAY APT 4W
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100343104
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6464100341
The telephone number associated with the location address of the provider being identified.
NPI1932334661
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1320600000X
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Provider Enumeration Date05/26/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05/26/2009
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MR. MARK BROWN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address4865 BROADWAY APT 4W
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100343104
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6464100341
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1320600000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Provider License Number 120159
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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