Active NPI
Bruce R Horowitz, MD
- Internal Medicine Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NYS 155239
- Practice address
- 222 Station Plaza North
Suite 310
Mineola, NY 11501 - Phone
- (516) 663-2051
- Fax
- (516) 663-4740
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NYS 155239 | NY | Primary |
Addresses
Primary practice location
222 Station Plaza North
Suite 310
Mineola, NY 11501
Mailing address
222 Station Plaza North
Suite 310
Mineola, NY 11501
Phone (516) 663-3822
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431649N | Other | CIGNA | |
| 441013 | Other | UNITED HEALTHCARE | |
| 4454799 | Other | AETNA | |
| 96D681 | Other | BC BS | |
| 01023243 | Medicaid | NY | |
| OC6397 | Other | HEALTHNET | |
| 1307772 | Other | FIRSTHEALTH | |
| 186 | Other | VYTRA | |
| 2500237 | Other | GHI | |
| AP796 | Other | OXFORD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NYS 155239 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| Medical Group of Mineola, PC | Past | Accepting new patients |
Locations
1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
222 Station Plz N
Mineola, NY 11501
Phone (516) 663-1111
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
222 Station Rd
Ste 310
Mineola, NY 11501
Phone (516) 663-2051
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
-
- Psychiatry Physician
- Mineola, NY
- NPI 1255798096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1124007133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 STATION PLAZA NORTH",
"address_2": "SUITE 310",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-663-3822",
"fax_number": "516-663-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATION PLAZA NORTH",
"address_2": "SUITE 310",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-663-2051",
"fax_number": "516-663-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "BRUCE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "NYS 155239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "431649N",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "441013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4454799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "96D681",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01023243",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OC6397",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHEALTH",
"identifier": "1307772",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "186",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2500237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP796",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.