Chanta Mabry

Physician • Brooklyn, NY

Active NPI 1285275354 Individual Practitioner Female Practitioner

Practice location in NPPES

1787 Fulton St
Brooklyn, NY 112333029

Call 3477509089 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

NPI assigned on September 30, 2019; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

1787 Fulton St

Brooklyn, NY 112333029

Telephone 3477509089

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Newburgh, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

License # reported to NPPES NY BO-17-00023

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.

Look Up on State Board Site

Secondary Practice Locations

6 Bainbridge Pl Unit 905

Newburgh, NY 125507423

Phone: 3477509089

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

✅

NPI Profile Active September 30, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) September 30, 2019

Registered at 1787 FULTON ST, BROOKLYN, NY 112333029 (Tel: 3477509089)

📍

Business Mailing Address (Initial Record) September 30, 2019

Registered at 6 BAINBRIDGE PL UNIT 905, NEWBURGH, NY 125507423 (Tel: 3477509089)

🏢

Secondary Practice Location Registered September 30, 2019

Additional practice office at 6 Bainbridge Pl Unit 905, Newburgh, NY 125507423

👤

Provider Name / Credentials (Initial Record) September 30, 2019

Recorded as CHANTA MABRY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2019

Prosthetic/Orthotic Supplier (license number reported to NPPES: NY BO-17-00023)

🟢

Initial NPI Registration & Enumeration September 30, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285275354

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 30, 2019

Last Update: September 30, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6 Bainbridge Pl Unit 905

Newburgh, NY 125507423

Phone: 3477509089

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.