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

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.

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 (10 clinicians)
St John'S Medical Services PC (89 clinicians)

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 (group)
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
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 IDStateProvider typePAC IDDetails
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)

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC Current
since Jan 1, 2015
Accepting new patients
Rheumatology Consultants, LLP Rheumatology Current
since Jul 1, 2015
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

  • Direct secure messaging: jordan.brodsky.p1@direct.rheumconsultants.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jordan.brodsky.1@14448.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2015.

{
    "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

All providers in Hewlett, NY · Rheumatology Physician in New York

Sources for this page

Verify at the official NPI Registry.