Active NPI
Roman Brushtein, MD
- Internal Medicine Physician
- Lynbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 233198
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02369253 | Medicaid | NY |
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
Enrollment records 1
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
- Emerest Home Health Care of Long Island
- Catholic Home Care
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001678 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincents Catholic Medical Centers of New York | Current | Accepting new patients | |
| Roman Brushtein Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Falkovsky Medical PC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Lynbrook, NY
- NPI 1952435182
-
- Primary Care Clinic/Center
- Garden City, NY
- NPI 1790010817
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Home Health Agency
- Flushing, NY
- NPI 1235529538
-
- Home Health Agency
- New York, NY
- NPI 1528059805
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.