Active NPI
Brandon Michael Papeika, PA-C
- Physician Assistant
- Roslyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 100 Port Washington Blvd
Roslyn, NY 11576-1347 - Phone
- (516) 562-6000
- NPI assigned
- Feb 11, 2019
- Last updated
- Feb 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
100 Port Washington Blvd
Roslyn, NY 11576-1347
Mailing address
404 Martin Ave
Maple Shade, NJ 08052-2831
Phone (856) 630-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 Route 130 N
Cinnaminson, NJ 08077-3046
Phone (856) 829-0407
2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333
4318 Route 130
Willingboro, NJ 08046-1427
Phone (609) 871-2045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital | Current | Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Current | Accepting new patients | |
| Jersey Irish Medical | Past | Accepting new patients |
Locations
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Interoperability endpoints
- bpapeika75561@direct.optum.com
Organizations & group practices 8
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.
-
- Emergency Care Clinic/Center
- Edgewater, NJ
- NPI 1477927754
-
- Emergency Medicine Physician
- Uniondale, NY
- NPI 1588098172
-
dba St. Francis Hospitalists
- General Acute Care Hospital
- Roslyn, NY
- NPI 1760704811
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
dba St Francis Ekg
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1528386810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1366908725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MARTIN AVE",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "080522831",
"telephone_number": "856-630-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PORT WASHINGTON BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761347",
"telephone_number": "516-562-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPEIKA",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.