NPIMap

Organization Active NPI

Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1346006202
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MILL BASIN MEDICAL HEALTH PC
Practice address
1583 E 66TH St FL 1
Brooklyn, NY 11234-6005
Phone
(917) 318-4724
NPI assigned
Feb 27, 2024
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Mayer Spilman
Title
Ceo
Phone
(646) 269-1508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X

Addresses

Primary practice location

1583 E 66TH St FL 1
Brooklyn, NY 11234-6005

Mailing address

1583 E 66TH St FL 1
Brooklyn, NY 11234-6005
Phone (917) 318-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326003311 NY Part B Supplier - Clinic/Group Practice 9133566128 Receives reassigned benefits from 163 practitioners
Practice locations: New York, NY; Hornell, NY; Oneonta, NY; Pawling, NY; Plattsburgh, NY; Poughkeepsie, NY; Rochester, NY; Rockaway Park, NY…

National Provider Directory

National Provider Directory

Locations

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

Practitioners & affiliated clinicians

Practitioners 175

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 175

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1346006202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 E 66TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346005",
            "telephone_number": "917-318-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 E 66TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346005",
            "telephone_number": "917-318-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL BASIN MEDICAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "SPILMAN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-269-1508"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.