Individual provider Active NPI

Brett Silverman, DO

  • Physical Medicine & Rehabilitation Physician
  • Hewlett, NY
National Provider Identifier
1083620355
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
219724 Issued in NY
Practice address
1512 Broadway
Island Musculoskeletal Care MD PC
Hewlett, NY 11557-9998
Phone
(516) 374-6838
Fax
(516) 374-6838
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 219724 NY Primary

Addresses

Primary practice location

1512 Broadway
Island Musculoskeletal Care MD PC
Hewlett, NY 11557-9998

Mailing address

5 Medical Dr
Port Jefferson Station, NY 11776-1601
Phone (631) 364-9119

Other identifiers 2

IdentifierTypeStateIssuer
A400139113OtherNYMEDICARE PTAN
02499085MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001046 NY Practitioner - Physical Medicine and Rehabilitation 6406838648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 642-9801

Hospital & facility affiliations

  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219724NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Musculoskeletal Care MD PC Physical Medicine & Rehabilitation Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Apr 1, 2019 Accepting new patients
CHS Physician Partners, PC CurrentSince Apr 1, 2019 Accepting new patients
Island Musculoskeletal Care MD PC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2013 Accepting new patients
Island Musculoskeletal Care, M.D., P.C. Physical Medicine & Rehabilitation CurrentSince Aug 1, 2013 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients

Locations

1993 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4031

1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838

1895 Walt Whitman Rd
Melville, NY 11747
Phone (631) 249-9525

200 Belle Terre Rd
Ste E140
Prt Jefferson, NY 11777
Phone (631) 474-6049

200 Belle Terre Rd
Ste 110
Prt Jefferson, NY 11777
Phone (631) 476-1010

10825 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 849-2321

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

125 Franklin Ave
Valley Stream, NY 11580
Phone (516) 825-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: bsilverman96848@direct-chsli.net

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1083620355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761601",
            "telephone_number": "631-364-9119",
            "fax_number": "631-364-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 BROADWAY",
            "address_2": "ISLAND MUSCULOSKELETAL CARE MD PC",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115579998",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "BRETT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400139113",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02499085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.