Jordan Eli Brodsky, M.D.
Individual provider Active NPI Rheumatology Physician · Hewlett, NY
NPI 1386969418 · NPPES record last updated Apr 9, 2015
Key facts
- NPI
- 1386969418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 269794 (NY)
- Practice address
- 1157 Broadway
Hewlett, NY 11557-2325 - Phone
- (516) 295-4481
- NPI assigned
- Mar 31, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rheumatology Consultants, LLP
St John'S Medical Services PC
Practice addresses (Care Compare)
1157 Broadway
Hewlett, NY 11557-2325
Phone (516) 295-4481
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7919
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.83 of 100
- Quality
- 78.68
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150325001638 | NY | Practitioner - Rheumatology | 1850618125 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John'S Medical Services PC | Current |
Accepting new patients | |
| Rheumatology Consultants, LLP | Rheumatology | Current |
Accepting new patients |
Locations
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
1157 Broadway
Hewlett, NY 11557
Phone (516) 295-3355
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jordan.brodsky.p1@direct.rheumconsultants.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
- jordan.brodsky.1@14448.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 269794 | NY | Yes |
Addresses
Primary practice location
1157 Broadway
Hewlett, NY 11557-2325
Mailing address
1157 Broadway
Hewlett, NY 11557-2325
Phone (516) 295-4481
NPI Registry JSON
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1386969418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 BROADWAY",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572325",
"telephone_number": "516-295-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 BROADWAY",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572325",
"telephone_number": "516-295-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODSKY",
"first_name": "JORDAN",
"middle_name": "ELI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "269794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
- Lauren Boykin
- Marc Braunstein
- Sharon Breslin
- Meir Zvi Breuer
- Rivka Breuer
- Linda M Bryant
- Clifford Joel Bryer
- Caliber Enterprises Inc
- Chirrard Cameau
- Amy Lee Canpolat
All providers in Hewlett, NY · Rheumatology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.