Brenda Mintz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F341692 Issued in NY

Practice address

3751 Riverdale Ave
Bronx, NY 10463-1815

Phone

(718) 362-1411

Fax

(718) 414-1651

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brenda Koschitzki Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.64 of 100Reported as group

Quality

76.13

Improvement activities

40

Cost

69.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: bmintz@advderm.emadirect.md

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.

• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  Medicare reassignment Care Compare group NPD
• RLD Medical Services, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1609986934
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NY

  Medicare reassignment NPD
• Forest Hills Dermatology Group PLLC

  • Dermatology Physician
  • Kew Gardens, NY
  • NPI 1225309586
  NPD
• Anthony Buglino DO PLLC

  • Plastic Surgery Physician
  • Woodbury, NY
  • NPI 1730582834
  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)
• Marvin S Watsky PC

  • Dermatology Physician
  • Lindenhurst, NY
  • NPI 1477563716
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1306170402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 WESTWOOD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981124",
            "telephone_number": "917-204-5445",
            "fax_number": "516-765-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631815",
            "telephone_number": "718-362-1411",
            "fax_number": "718-414-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Westwood Rd",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981124",
            "country_code": "US",
            "telephone_number": "917-204-5445",
            "fax_number": "516-765-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "BRENDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "543750",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "KOSCHITZKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aminata Minte, PA-C
• Sandra Mintern
• Lisa L Minton
• Alexander Mintsis
• Abby Mintz, MD
• Rebecca Mintz
• Keayana Nicola Minus
• Cristina Marie Minutolo, PA-C
• Alexis Katrina Abella Miole, OT
• Muhammad Imran Mir, FNP

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.

Verify at the official NPI Registry.