Active NPI
Bryan M Falk, DO
- Nephrology Physician
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 129043
- Practice address
- 6352 Woodhaven Blvd
Rego Park, NY 11374 - Phone
- (718) 639-1176
- Fax
- (718) 565-6656
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 129043 | NY | |
| Nephrology Physician | 207RN0300X | 129043 | NY | Primary |
Addresses
Primary practice location
6352 Woodhaven Blvd
Rego Park, NY 11374
Mailing address
318 Laurel Rd
West Hempstead, NY 11552
Phone (718) 639-1176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00790556 | Medicaid | NY | |
| P674411 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 46 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 006-6708
12046 Queens Blvd
Kew Gardens, NY 11415-1204
Phone (718) 793-3341
89 -40
Jamaica, NY 11418-2832
Phone (718) 206-5200
8900 Van Wyck Expressway
Jamaica, NY 11418-2832
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- Quality
- 64.77
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 70.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJH Medical Services, P.C. | Internal Medicine | Current | Accepting new patients |
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Queens Replacement LLC | Past | Accepting new patients |
Locations
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
12046 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 793-3341
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- bfalk2121@direct.medisys.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
-
- Nephrology Physician
- Staten Island, NY
- NPI 1598753253
-
dba Jamaica Hospital Emergency Department - Radiology
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
dba Kew Gardens Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kew Gardens, NY
- NPI 1548251218
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1407938764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 LAUREL RD",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "11552",
"telephone_number": "718-639-1176",
"fax_number": "718-565-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6352 WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-639-1176",
"fax_number": "718-565-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "BRYAN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "129043",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "129043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00790556",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P674411",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.