Brett Marsh Dolgin, D.O.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

267986 Issued in NY

Practice address

255 Great Neck Rd Apt PH15
Great Neck, NY 11021-3358

Phone

(516) 353-7086

NPI assigned

Sep 6, 2012

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peter a Klein, MD, Faad, PCGroup PAC ID 3971492455, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

Merit-based Incentive Payment System (MIPS)

Final score

79.42 of 100Reported as group

Quality

65.5

Improvement activities

40

Cost

77.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdolgin534015@nyumc.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BIJBDD
• FHIR API: https://fhir4.healow.com/fhir/r4/BIJBDD/Endpoint/BIJBDD

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.

• Peter a Klein, MD, Faad, PC

  • Dermatology Physician
  • Port Jefferson Station, NY
  • NPI 1902837396
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• John T. Mather Memorial Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1093718728
  Care Compare affiliation

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1417206459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GREAT NECK RD APT PH15",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213358",
            "telephone_number": "516-353-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GREAT NECK RD APT PH15",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213358",
            "telephone_number": "516-353-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLGIN",
        "first_name": "BRETT",
        "middle_name": "MARSH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "267986",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60267986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffi Dittmar, MD
• Daniel Murray Divack, MD
• Tannesha Dixon, NP
• DLK PSYD Psychologist
• Mark W Dobriner, M.D.
• Maureen Sue Dominguez, LCSW, MSW
• Rebecca Don
• Hayley Donaldson, MD
• Raeann Nicole Dong
• Donna Lederman Speech-Language Pathologist, P.C.

• Procedural Dermatology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.

Verify at the official NPI Registry.