Individual provider Active NPI

Douglas Alan Brylka, MD

  • Radiology Clinic/Center
  • New York, NY
National Provider Identifier
1114181963
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
25MA09996500 Issued in NJ
Practice address
525 East 68TH Street
Box 141
New York, NY 10065-4885
Phone
(212) 746-6000
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 25MA09996500 NJ Primary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 256839 NY

Addresses

Primary practice location

525 East 68TH Street
Box 141
New York, NY 10065-4885

Mailing address

1811 Springfield Ave
5TH Floor
New Providence, NJ 07974-1041
Phone (212) 746-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100915000136 NY Practitioner - Diagnostic Radiology 0042335077 Reassigns benefits to 3 organizations
I20170125000555 NJ Practitioner - Diagnostic Radiology 0042335077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Single Specialty CurrentSince Jul 1, 2010 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 19, 2022 Accepting new patients
City Medical of Upper East Side, PLLC Single Specialty Current Accepting new patients
Weill Medical College of Cornell Single Specialty CurrentSince Jul 1, 2010 Accepting new patients
Summit Medical Group PA CurrentSince Dec 12, 2016 Accepting new patients
Weill Cornell Imaging at New York Presbyterian Single Specialty CurrentSince Jul 1, 2010 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 19, 2022 Accepting new patients
Weill Cornell Medical Imaging Single Specialty CurrentSince Jul 1, 2010 Accepting new patients
Summit Medical Group PA Single Specialty CurrentSince Dec 12, 2016 Accepting new patients
Ny Downtown Hospital Radiology Faculty Practice Single Specialty Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

525 E 68th St
#141
New York, NY 10065
Phone (212) 746-2059

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

170 William St
Fl 1
New York, NY 10038
Phone (212) 312-5163

Networks

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

Interoperability endpoints

  • Direct secure messaging: douglas.brylka.1@2983.direct.athenahealth.com

Organizations & group practices 10

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1114181963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SPRINGFIELD AVE",
            "address_2": "5TH FLOOR",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741041",
            "telephone_number": "212-746-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET",
            "address_2": "BOX 141",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654885",
            "telephone_number": "212-746-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYLKA",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "25MA09996500",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "256839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.