Individual provider Active NPI

Bradley Schlussel, M.D.

  • Rheumatology Physician
  • Long Beach, NY
National Provider Identifier
1174927925
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
LP04128 Issued in RI
Practice address
424 W Park Ave
2ND Floor
Long Beach, NY 11561-3129
Phone
(516) 313-7248
NPI assigned
Oct 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X LP04128 RI Primary

Addresses

Primary practice location

424 W Park Ave
2ND Floor
Long Beach, NY 11561-3129

Mailing address

424 W Park Ave
2ND Floor
Long Beach, NY 11561-3129
Phone (516) 313-7248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190717002062 CT Practitioner - Rheumatology 3476888124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

222 Post Rd
Suite E
Fairfield, CT 06824-6245
Phone (203) 255-8888

49 Lake Ave
Greenwich, CT 06830-4501
Phone (203) 869-5715

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP04128RIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Single Specialty CurrentSince Aug 6, 2019 Accepting new patients

Locations

49 Lake Ave
Greenwich, CT 06830
Phone (203) 661-9383

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

5520 Park Ave
Ste WP2100
Trumbull, CT 06611

Interoperability endpoints

  • Direct secure messaging: bradley.schlussel.2@9000.direct.athenahealth.com
  • Direct secure messaging: bradley.schlussel.1@9000.direct.athenahealth.com
  • Direct secure messaging: bschlussel432371@direct.ynhh.org

Organizations & group practices 1

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 2

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1174927925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613129",
            "telephone_number": "516-313-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613129",
            "telephone_number": "516-313-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUSSEL",
        "first_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "LP04128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.