Active NPI
Bryan Joseph Cabrera, PA-C
- Surgical Physician Assistant
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 014393
- Practice address
- 6 Technology Dr Ste 100
East Setauket, NY 11733-4079 - Phone
- (631) 689-6698
- Fax
- (631) 751-5548
- NPI assigned
- Oct 15, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014393 | NY | |
| Surgical Physician Assistant | 363AS0400X | 014393 | NY | Primary |
Addresses
Primary practice location
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Mailing address
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Phone (631) 689-6698
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
651 Old Country Rd
Plainview, NY 11803-4938
Phone (516) 681-8822
Hospital & facility affiliations
- Mount Sinai South Nassau
- Northwell Hospital Glen Cove
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| The Central Orthopedic Group L L P | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| The Central Orthopedic Group L L P | Past | Accepting new patients |
Locations
6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
5840 Merrick Rd
Massapequa, NY 11758
Phone (516) 681-8822
27005 76th Ave
North New Hyde Pk, NY 11040
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200
651 Old Country Rd
Ste 200
Plainview, NY 11803
Phone (516) 681-8822
100 Port Washington Blvd
Ste 105
Roslyn, NY 11576
Phone (516) 390-9640
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 7
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.
-
- Specialist
- Plainview, NY
- NPI 1669694394
-
- Orthopaedic Surgery Physician
- East Setauket, NY
- NPI 1225593809
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Orthopaedic Surgery Physician
- Garden City, NY
- NPI 1235470535
-
- Durable Medical Equipment & Medical Supplies
- Centereach, NY
- NPI 1235943572
-
- Durable Medical Equipment & Medical Supplies
- Rockville Centre, NY
- NPI 1669006375
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1447560107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "BRYAN",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-15",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014393",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "014393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.