Zev Brandel, MD

Individual provider Active NPI Family Medicine Physician · Baldwin, NY

NPI 1083658801 · NPPES record last updated Oct 25, 2007

Key facts

NPI
1083658801
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
2070191 (NY)
Practice address
2504 Grand Ave
Baldwin, NY 11510-3538
Phone
(516) 868-3080
Fax
(516) 771-6851
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2504 Grand Ave
Baldwin, NY 11510-3538
Phone (516) 868-3080

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070612000246 NY Practitioner - Family Practice 5890893051 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2070191NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zev Brandel MD,PC Family Medicine Current
since Sep 12, 2006
Accepting new patients

Locations

2504 Grand Ave
Baldwin, NY 11510
Phone (516) 868-3080

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2070191 NY Yes

Addresses

Primary practice location

2504 Grand Ave
Baldwin, NY 11510-3538

Mailing address

2504 Grand Ave
Baldwin, NY 11510-3538
Phone (516) 868-3080

Other providers in Baldwin, NY

All providers in Baldwin, NY · Family Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.