Individual provider Active NPI

Lawrence Bryskin, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1184718405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
100549 Issued in NY
Practice address
157 E 80TH St
New York, NY 10021-0438
Phone
(212) 628-7849
Fax
(212) 628-7979
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 100549 NY Primary

Addresses

Primary practice location

157 E 80TH St
New York, NY 10021-0438

Mailing address

157 E 80TH St
New York, NY 10021-0438
Phone (212) 628-7849

Other identifiers 1

IdentifierTypeStateIssuer
00172418MedicaidNY

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
I20100915001105 NY Practitioner - Psychiatry 5294850194 Reassigns benefits to 3 organizations
Practice locations: New York, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

157 E 80TH St
New York, NY 10075-0438
Phone (212) 628-7849

615 Ave L
Brooklyn, NY 11230-5121
Phone (718) 375-0755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100549NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Center of Queens County, Inc. CurrentSince Oct 30, 2011 Accepting new patients
Neurocare TMS, LLC PastSince May 7, 2017 Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Locations

16121 Jamaica Ave
Jamaica, NY 11432
Phone (718) 896-2500

6207 Woodside Ave
Woodside, NY 11377
Phone (718) 472-9400

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184718405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 80TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210438",
            "telephone_number": "212-628-7849",
            "fax_number": "212-628-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 80TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210438",
            "telephone_number": "212-628-7849",
            "fax_number": "212-628-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSKIN",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "100549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00172418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.