Brocha Raizel Brull, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103210-1 Issued in NY

Practice address

42 Melnick Dr
Monsey, NY 10952-3328

Phone

(845) 770-1949

NPI assigned

Mar 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Community Medical & Dental Care Inc

  • Federally Qualified Health Center (FQHC)
  • Monsey, NY
  • NPI 1972681484
  Medicare reassignment NPD
• Community Medical & Dental Care Inc / Ohr Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Monsey, NY
  • NPI 1063248086
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1336644517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMANDA CT",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524138",
            "telephone_number": "845-362-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MELNICK DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523328",
            "telephone_number": "845-770-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRULL",
        "first_name": "BROCHA",
        "middle_name": "RAIZEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Brodie, LCSW
• Paul Bruce Brody, PHD
• Florine Brookes
• Batsheva Brown, MSED
• Sarah Bruck
• BSD Trading USA Inc.
• Victoria Caban, PA-C
• Sofia Cabibbo
• Jacquelyn Cahill, SLP
• Jeanette Calara

• Social Worker in Monsey, NY
• Providers in Monsey, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.