MS. SUSAN JEAN BRILLHART


Address: 199 Chambers St, S-782 Bmcc, New York, NY 10007-1044
Phone: 9172737726

MS. SUSAN JEAN BRILLHART (NPI# 1104812718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104812718
Entity Type Individual
Full Name MS. SUSAN JEAN BRILLHART
Credential MSN, RN, BC, CPNP
Practice Address 199 Chambers St
S-782 Bmcc
New York
NY 10007-1044
Mailing Address 515 Park Ave
1g
Hoboken
NJ 07030-6912
Practice Telephone 9172737726
Practice Fax Number 2127487457
Mailing Telephone 2014206963
Mailing Fax Number 2127487457
Enumeration Date 2005-09-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 163WP0200X Registered Nurse
Specialization: Pediatrics
26NR06786500 NJ Nursing Service Providers
X 163WP0200X Registered Nurse
Specialization: Pediatrics
368209 NY Nursing Service Providers
X 363LP0200X Nurse Practitioner
Specialization: Pediatrics
26NN06786500 NJ Physician Assistants & Advanced Practice Nursing Providers
X 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F380906 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 199 CHAMBERS ST
S-782 BMCC
City NEW YORK
State NY
Zip Code 10007-1044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225406903 Elizabeth Lutale Chronic Disease Hospital 199 Chambers St, New York, NY 10007-1044 2015-09-11
1902051600 Robert Eugene Cortes Social Worker 199 Chambers St, New York, NY 10007-1044 2008-11-21
1518953355 Patricia Ann Boyle Egland Registered Nurse 199 Chambers St, City University of Ny Bmcc, New York, NY 10007-1044 2005-09-27

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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10007

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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