Individual provider Active NPI

Ella Brodsky

  • Psychiatry Physician
  • Queens Village, NY
National Provider Identifier
1093830903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208397 Issued in NY
Practice address
8045 Winchester Blvd
Queens Village, NY 11427-2193
Phone
(718) 464-7500
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 208397 NY Primary

Addresses

Primary practice location

8045 Winchester Blvd
Queens Village, NY 11427-2193

Mailing address

27 Carriage Rd
Roslyn, NY 11576-3117

Other identifiers 1

IdentifierTypeStateIssuer
208397MedicaidNY

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
I20100506000972 NY Practitioner - Psychiatry 8224166541 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Far Rockaway, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seth Benkel MD PLLCGroup PAC ID 8325331317, 14 clinicians

Practice addresses (Care Compare)

1509 Central Ave
Far Rockaway, NY 11691-4001
Phone (917) 520-7297

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seth Benkel, MD, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Comprehensive Medical & Diagnostic Care PC Psychiatry PastSince Dec 17, 2012 Accepting new patients

Locations

712 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-0466

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093830903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CARRIAGE RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272193",
            "telephone_number": "718-464-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "ELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.