Individual provider Active NPI

Brian L. Vogel, M.D.

  • Internal Medicine Physician
  • Massapequa Park, NY
National Provider Identifier
1205851516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199454 Issued in NY
Practice address
1035 Park Blvd Ste 1B
Massapequa Park, NY 11762-2743
Phone
(516) 541-7800
Fax
(516) 541-7800
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 199454 NY Primary

Addresses

Primary practice location

1035 Park Blvd Ste 1B
Massapequa Park, NY 11762-2743

Mailing address

PO Box 701
Massapequa Park, NY 11762-0701
Phone (516) 541-7800

Other practice location 1

1029 Park Blvd
Massapequa Park, NY 11762-2742
Phone (516) 541-7800

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
I20040525000099 NY Practitioner - Internal Medicine 3173504495 Reassigns benefits to 1 organization
Practice locations: Massapequa Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Partnercare Physicians PLLCGroup PAC ID 9638593585, 18 clinicians

Practice addresses (Care Compare)

1035 Park Blvd
Suite 1B
Massapequa Park, NY 11762-2743
Phone (516) 858-0345

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Partnercare Physicians PLLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

1010 Northern Blvd
Ste 328
Great Neck, NY 11021
Phone (516) 354-7900

1035 Park Blvd
Ste 1B
Massapequa Pk, NY 11762
Phone (516) 541-7800

Networks

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

Interoperability endpoints

  • Direct secure messaging: brian.vogel@blv.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/24863/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHFBA/Endpoint/DBHFBA
  • Direct secure messaging: brian.vogel.1@24863.direct.athenahealth.com

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 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205851516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620701",
            "telephone_number": "516-541-7800",
            "fax_number": "516-541-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD STE 1B",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-541-7800",
            "fax_number": "516-541-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117622742",
            "country_code": "US",
            "telephone_number": "516-541-7800",
            "fax_number": "516-541-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "BRIAN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

Verify at the official NPI Registry.