Active NPI
Gabriel H Brandeis, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 166195
- Practice address
- Medical Department
79-01 Broadway
New York, NY 11373 - Phone
- (718) 334-3444
- Fax
- (718) 334-2879
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 58101 | MA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 58101 | MA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 166195 | NY | Primary |
Addresses
Primary practice location
Medical Department
79-01 Broadway
New York, NY 11373
Mailing address
Medical Department
79-01 Broadway
New York, NY 11373
Phone (718) 334-3444
Other practice location 1
850 Harrison Ave
YACC, 3rd Floor
Boston, MA 02118-4001
Phone (617) 638-6100
Other practice location 2
850 Harrison Ave
YACC, 3rd Floor
Boston, MA 02118-4001
Phone (617) 638-6100
Other practice location 3
120 West 106th Street
Medical Department
New York, NY 10025
Phone (212) 870-5978
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110049558A | Medicaid | MA | |
| BG3A | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Icahn School of Medicine at Mount Sinai, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952
Hospital & facility affiliations
- Americare Certified Special Services, Inc Chha
- Elmhurst Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58101 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Evans Geriatric Section of Evans | Geriatric Medicine | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- gbrandeis670444@nychhc.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1184977324
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
- NPI 1235533324
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1023093994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL DEPARTMENT",
"address_2": "79-01 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-334-3444",
"fax_number": "718-334-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL DEPARTMENT",
"address_2": "79-01 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-334-3444",
"fax_number": "718-334-2879"
}
],
"practiceLocations": [
{
"address_1": "850 Harrison Ave",
"address_2": "YACC, 3rd Floor",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021184001",
"country_code": "US",
"telephone_number": "617-638-6100",
"fax_number": "617-638-6179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Harrison Ave",
"address_2": "YACC, 3rd Floor",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021184001",
"country_code": "US",
"telephone_number": "617-638-6100",
"fax_number": "617-638-6179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 West 106th Street",
"address_2": "Medical Department",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10025",
"country_code": "US",
"telephone_number": "212-870-5978",
"fax_number": "212-870-4905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDEIS",
"first_name": "GABRIEL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "58101",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "58101",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "166195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110049558A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BG3A",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.