PAUL BENEDICT BROWN III
NPI 1275943326
Orthopaedic Surgery - Sports Medicine in New Providence, NJ

Q: What is Paul Brown's NPI number?

The NPI number for Paul Brown is 1275943326. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Q: What is Paul Brown's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Paul Brown was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment

550 CENTRAL AVE STE 500, NEW PROVIDENCE, NJ 07974(908) 795-1192(908) 795-1193 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Paul Benedict Brown Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL BENEDICT BROWN III (NPI 1275943326) is an individual sports medicine provider in New Providence, New Jersey, licensed in New Jersey (25MB10871400) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Rowan University School Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1275943326

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NamePAUL BENEDICT BROWN III

Location Address550 CENTRAL AVE STE 500New Providence, NJ 07974-1505

Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495

Phone(908) 795-1192

Fax(908) 795-1193

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2014

Enumeration DateApril 29, 2014

Last NPPES UpdateNovember 18, 2020

NPPES CertifiedNovember 18, 2020

✔ NPI 1275943326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in NJ · 25MB10871400

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

550 CENTRAL AVE STE 500, New Providence, NJ 07974

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Benedict Brown Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496099624

PECOS Enrollment IDI20200902000223

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Practice Associates Medical Group

7.1 mi

Internal Medicine

100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
1,699 clinicians in this Medicare group

NPI 1427016385 (844) 264-2250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

58 services50 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

54 services42 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

51 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

49 services28 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUHYLA ALAM MD

Otolaryngology