Dennis M. Brustein, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

121070 Issued in NY

Practice address

9876 Queens Blvd Ste 1K
Rego Park, NY 11374-4333

Phone

(718) 459-8900

NPI assigned

Jun 9, 2006

Last updated

Feb 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bodian Dermatology Group, P.C

  • Specialist
  • Great Neck, NY
  • NPI 1659412104
  Medicare reassignment NPD
• Bodian Medical Services of Forest Hills PC

  • Specialist
  • Forest Hills, NY
  • NPI 1043441777
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1215978598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COUNTRY PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211018",
            "telephone_number": "917-690-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD STE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744333",
            "telephone_number": "718-459-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSTEIN",
        "first_name": "DENNIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "121070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01838568",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Broomes
• Caitlin Jennifer Brown, LCSW
• Charmaine Eileen Brown, LCSW
• Laquana Melissa Brown, NP
• Miriam Lois Brunnwasser, SPECIAL EDUCATOR
• BSG Nutrition
• Stephanie Ann Bucaria, M.A.
• Karla Buchanan
• Lisa Burrowes, LMSW
• Vilena Buryev

• Dermatology Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.