Provider Demographics
NPI:1326148206
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:DR
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 12 STREET
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1064
Mailing Address - Country:US
Mailing Address - Phone:718-375-6400
Mailing Address - Fax:718-375-1822
Practice Address - Street 1:1725 EAST 12 STREET
Practice Address - Street 2:SUITE 401
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1064
Practice Address - Country:US
Practice Address - Phone:718-375-6400
Practice Address - Fax:718-375-1822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REPRODUCTIVE MEDICINE ASSOCIATES OF BROOKLYN LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-22
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 - Single Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEJ592Medicare PIN