Individual provider Active NPI

Eliza Magdalena Muzylo, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1134494800
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
266406-1 Issued in NY
Practice address
1854 Ocean Ave
5B
Brooklyn, NY 11230-6271
Phone
(646) 267-4615
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 266406-1 NY Primary

Addresses

Primary practice location

1854 Ocean Ave
5B
Brooklyn, NY 11230-6271

Mailing address

1854 Ocean Ave
5B
Brooklyn, NY 11230-6271
Phone (646) 267-4615

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
I20170127000234 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7810123841 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians
14 Street Medical PCGroup PAC ID 6204122088, 16 clinicians
Maimonides Medical Center Maimonides Primary Care FPPGroup PAC ID 5991696916, 32 clinicians
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004

332 E 14TH St
New York, NY 10003-4243
Phone (212) 481-3333

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.34 of 100Reported as group
Quality
59.43
Improvement activities
40
Cost
72.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266406-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Operating Co LLC CurrentSince Nov 13, 2016 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Jul 6, 2019 Accepting new patients
14 Street Medical, PC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018

110 W 14th St
New York, NY 10011
Phone (212) 242-4333

912 Columbus Ave
New York, NY 10025
Phone (212) 481-3333

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13555/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eliza.muzylo.1@13555.direct.athenahealth.com
  • Direct secure messaging: elizamuzylo@mai.allscriptsdirect.net

Organizations & group practices 5

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 1

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1134494800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 OCEAN AVE",
            "address_2": "5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306271",
            "telephone_number": "646-267-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 OCEAN AVE",
            "address_2": "5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306271",
            "telephone_number": "646-267-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZYLO",
        "first_name": "ELIZA",
        "middle_name": "MAGDALENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266406-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.