Individual provider Active NPI

Michael P Brass, D.C.

  • Chiropractor
  • East Meadow, NY
National Provider Identifier
1053478636
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006172-1 Issued in NY
Practice address
390 Merrick Ave
East Meadow, NY 11554-2701
Phone
(516) 489-2212
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006172-1 NY Primary

Addresses

Primary practice location

390 Merrick Ave
East Meadow, NY 11554-2701

Mailing address

390 Merrick Ave
East Meadow, NY 11554-2701
Phone (516) 489-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000682 NY Practitioner - Chiropractic 0840463105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

390 Merrick Ave
East Meadow, NY 11554-2701
Phone (516) 489-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006172-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
George M Rizos, DC, PC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Comprehensive Chiro. Care. P.C. Chiropractor CurrentSince Jun 1, 1992 Accepting new patients

Locations

390 Merrick Ave
East Meadow, NY 11554
Phone (516) 489-2212

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1053478636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542701",
            "telephone_number": "516-489-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542701",
            "telephone_number": "516-489-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASS",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "006172-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.