Active NPI
Brendan J. Keys, NP
- Nurse Practitioner
- Bethpage, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F334247-1
- Practice address
- 4295 Hempstead Tpke
Bethpage, NY 11714-5713 - Phone
- (516) 579-6000
- NPI assigned
- Dec 22, 2005
- Last updated
- Jun 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F334247-1 | NY | Primary |
Addresses
Primary practice location
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Mailing address
PO Box 826186
Philadelphia, PA 19182-6186
Phone (866) 898-7142
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02523857 | Medicaid | NY | |
| 0472G1 | Other | NY | BLUECROSS BLUESHIELD |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334247-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Internal Medicine Associates, PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Internal Medicine Associates, PC | Current | Accepting new patients | |
| Winthrop Community Medical Affiliates PC | Past | Accepting new patients | |
| Island Emergency Medical Services, P.C. | Past | Accepting new patients |
Locations
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224
25710 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-7200
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
585 Broadway
Massapequa, NY 11758
Phone (516) 360-2020
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910
21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
243 Boyle Rd
Selden, NY 11784
Phone (631) 320-1247
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medical Associates
- Internal Medicine Physician
- Oakland Gardens, NY
- NPI 1619188489
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Internal Medicine Physician
- Selden, NY
- NPI 1134658693
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
dba NYU Winthrop Medical Affiliates
- Internal Medicine Physician
- Mineola, NY
- NPI 1457873077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1043296833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826186",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191826186",
"telephone_number": "866-898-7142",
"fax_number": "770-237-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4295 HEMPSTEAD TPKE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145713",
"telephone_number": "516-579-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "BRENDAN",
"middle_name": "J.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F334247-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02523857",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "0472G1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.