Provider Demographics
NPI:1992999619
Name:REPRODUCTIVE MEDICINE ASSOCIATES OF BROOKLYN LLP
Entity type:Organization
Organization Name:REPRODUCTIVE MEDICINE ASSOCIATES OF BROOKLYN LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ROSENBERG
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-375-6400
Mailing Address - Street 1:1725 EAST 12TH STREET
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1067
Mailing Address - Country:US
Mailing Address - Phone:718-375-6400
Mailing Address - Fax:718-375-1822
Practice Address - Street 1:225 BROADWAY
Practice Address - Street 2:SUITE 901
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3001
Practice Address - Country:US
Practice Address - Phone:212-766-7272
Practice Address - Fax:718-375-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A472553 A472553OtherOXFORD HEALTH PLANS
0819045OtherAETNA HEALTH PLANS
1890841OtherUNITED HEALTH PLANS
2013063OtherCIGNA HEALTH PLANS
1890841OtherUNITED HEALTH PLANS