NPIMap

Individual provider Active NPI

Boris Peysin, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1215028956
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217884 Issued in NY
Practice address
8100 Bay Pkwy
Suite 1M
Brooklyn, NY 11214-2548
Phone
(718) 234-5100
Fax
(718) 234-5200
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 217884 NY Primary

Addresses

Primary practice location

8100 Bay Pkwy
Suite 1M
Brooklyn, NY 11214-2548

Mailing address

8100 Bay Pkwy
Suite 1M
Brooklyn, NY 11214-2548
Phone (718) 234-5100

Other identifiers 1

IdentifierTypeStateIssuer
02085296MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000309 NY Practitioner - Internal Medicine 1557491552 Practice locations: Brooklyn, NY

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)

8100 Bay Pkwy
Apt 1M
Brooklyn, NY 11214-2542
Phone (718) 234-5100

8100 Bay Pkwy
Suite 1M
Brooklyn, NY 11214-2663

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
  • Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190
  • Caring Hospice Services of New York, LLC Hospice, Brooklyn, NY, CCN 331563
  • New York Community Hospital of Brooklyn, Inc. Hospital, Brooklyn, NY, CCN 330019
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
42.08 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
86.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York Community Hospital of Brooklyn Inc Past Accepting new patients
Doctor on Wheels Medical PC Past Accepting new patients

Networks

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

Organizations & group practices 2

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 8

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1215028956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 BAY PKWY",
            "address_2": "SUITE 1M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142548",
            "telephone_number": "718-234-5100",
            "fax_number": "718-234-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BAY PKWY",
            "address_2": "SUITE 1M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142548",
            "telephone_number": "718-234-5100",
            "fax_number": "718-234-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYSIN",
        "first_name": "BORIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02085296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.