Active NPI
Crina D Vintila- Brebenel, MD
- Hematology & Oncology Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 210162
- Practice address
- 101 Saint Andrews LN
Glen Cove, NY 11542-2254 - Phone
- (516) 674-7430
- NPI assigned
- Jan 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 210162 | NY | Primary |
Addresses
Primary practice location
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Mailing address
972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01821925 | Medicaid | NY |
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
- Hematology/Oncology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (516) 674-7300
1111 Marcus Ave
New Hyde Park, NY 11042-1034
27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-4449
450 Lakeville Rd
New Hyde Park, NY 11042-1118
Phone (516) 734-8900
Hospital & facility affiliations
- Long Island Jewish Medical Center
- Northwell Hospital Glen Cove
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.07 of 100
- Quality
- 57.91
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 80.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210162 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore Health System Medical Faculty Group Practice Inc | Hematology & Oncology | Current | Accepting new patients |
| North Shore Long Island Jewish Healthcare | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
101 Saint Andrews Ln
Fl 1
Glen Cove, NY 11542
Phone (516) 674-1812
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Ste B
Rego Park, NY 11374
Phone (718) 925-6200
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- crinavintila@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
Hospital & facility affiliations 3
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
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1467432633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 BRUSH HOLLOW RD",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901740",
"telephone_number": "516-876-5555",
"fax_number": "516-876-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SAINT ANDREWS LN",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422254",
"telephone_number": "516-674-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINTILA- BREBENEL",
"first_name": "CRINA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-22",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "210162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01821925",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.