Individual provider Active NPI

Roman Brushtein, MD

  • Internal Medicine Physician
  • Lynbrook, NY
National Provider Identifier
1194786772
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233198 Issued in NY
Practice address
303 Merrick Rd
Suite 511
Lynbrook, NY 11563-2501
Phone
(516) 596-3611
Fax
(516) 596-3612
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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 233198 NY Primary

Addresses

Primary practice location

303 Merrick Rd
Suite 511
Lynbrook, NY 11563-2501

Mailing address

303 Merrick Rd
Suite 511
Lynbrook, NY 11563-2501
Phone (516) 596-3611

Other identifiers 1

IdentifierTypeStateIssuer
02369253MedicaidNY

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
I20050121000520 NY Practitioner - Internal Medicine 9032168570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

303 Merrick Rd
Suite 511
Lynbrook, NY 11563-2501
Phone (516) 596-3611

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001678NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincents Catholic Medical Centers of New York CurrentSince Jun 9, 2021 Accepting new patients
Roman Brushtein Medical PLLC Internal Medicine CurrentSince Jan 23, 2006 Accepting new patients
Falkovsky Medical PC Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients

Locations

19 West Rd
Garden City, NY 11530
Phone (516) 222-0229

303 Merrick Rd
Ste 511
Lynbrook, NY 11563
Phone (516) 315-3885

Networks

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

Interoperability endpoints

  • Direct secure messaging: roman.brushtein.1@22212.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1194786772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD",
            "address_2": "SUITE 511",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632501",
            "telephone_number": "516-596-3611",
            "fax_number": "516-596-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD",
            "address_2": "SUITE 511",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632501",
            "telephone_number": "516-596-3611",
            "fax_number": "516-596-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSHTEIN",
        "first_name": "ROMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02369253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.