Nicholas Eugene Brodyn, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

256977 Issued in NY

Practice address

68 Harris Bushville Rd
Harris, NY 10940-2650

Phone

(845) 333-8909

Fax

(845) 791-4136

NPI assigned

Aug 18, 2006

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 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

Specialty

Cardiovascular Disease (Cardiology)

Education

Kansas City University of Physicians and Surgeons, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garnet Health Doctors PCGroup PAC ID 8628293545, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386
• Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: nbrodyn71824@direct.garnethealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garnet Health Doctors PC

  • General Practice Physician
  • Middletown, NY
  • NPI 1093138851
  Medicare reassignment Care Compare group NPD
• Coney Island Medical Practice Plan, P.C.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1386951762
  Medicare reassignment NPD
• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1124026182
  Medicare reassignment NPD
• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1649573023
  NPD
• Orange Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Suffern, NY
  • NPI 1053355248
  NPD (past)
• Cardiac Testing Center

  • Specialist
  • New Providence, NJ
  • NPI 1083658850
  NPD (past)
• Cardiology Services of Elizabeth

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1235160839
  NPD (past)
• St Michaels Cardiology Associates

  • Cardiovascular Disease Physician
  • Newark, NJ
  • NPI 1457481954
  NPD (past)
• Suburban Heart Group, PA

  • Specialist
  • Union, NJ
  • NPI 1861543811
  NPD (past)
• Union Hospital Family Health Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Union, NJ
  • NPI 1619926607

  Cardiovascular Disease

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catskill Regional Medical Center

  dba CRMC Physician Services

  • Family Medicine Physician
  • Monticello, NY
  • NPI 1720039563

  Hospital

  Care Compare affiliation
• Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
  • NPI 1609875772
  Care Compare affiliation
• Garnet Health Medical Center Catskills

  • Rural Acute Care Hospital
  • Harris, NY
  • NPI 1710977012
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1144334061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 ROUTE 22 WEST",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "07092",
            "telephone_number": "908-654-1200",
            "fax_number": "908-654-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRIS BUSHVILLE RD",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-8909",
            "fax_number": "845-791-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Route 22 West",
            "address_purpose": "LOCATION",
            "city": "Mountainside",
            "state": "NJ",
            "postal_code": "07092",
            "country_code": "US",
            "telephone_number": "908-654-1200",
            "fax_number": "908-654-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODYN",
        "first_name": "NICHOLAS",
        "middle_name": "EUGENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "256977",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB044592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Barone, OTR/L
• John Bertolini, MD
• Jean Atlas Blevins, OTR
• Michael Bliss, D.O.
• Michael Britton, FNP-BC
• Marissa Christine Burns, MS, CCC-SLP
• Irvelyne Camille, MD
• Vanessa Carraccia, M.S.
• Catskill Anesthesia Associates, LLP
• Catskill Physical Medicine & Rehabilitation, LLC (Catskill Rehabilitation & Sports Medicine)

• Cardiovascular Disease Physician in Harris, NY
• Providers in Harris, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.