NPIMap

Individual provider Active NPI

Harry M Mushlin, M.D.

  • Neurological Surgery Physician
  • Stony Brook, NY
National Provider Identifier
1518200781
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
309045 Issued in NY
Practice address
100 Nicolls Road
HSC T12 Room 08
Stony Brook, NY 11794
Phone
(202) 306-2352
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 309045 NY Primary

Addresses

Primary practice location

100 Nicolls Road
HSC T12 Room 08
Stony Brook, NY 11794

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-5305
Phone (631) 444-7328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200708002327 PA Practitioner - Neurosurgery 4880992296 Reassigns benefits to 1 organization
I20210618000621 NY Practitioner - Neurosurgery 4880992296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Lauterbur Dr
Stony Brook Cancer Center
Stony Brook, NY 11794-0001
Phone (631) 444-1213

100 Nicolls Rd
Stony Brook, NY 11794-8122
Phone (631) 444-1213

101 Nicolls Rd
Stony Brook, NY 11794-8122
Phone (631) 444-1213

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion312
Laminectomy or laminotomy (partial removal of spine bones)126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
University of Pittsburgh Physicians Single Specialty Current Accepting new patients
University of Pittsburgh Physicians Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
New York Spine & Brain Surgery, University Faculty Practice Corporatio Single Specialty CurrentSince Jul 26, 2021 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Single Specialty Past Accepting new patients

Locations

500 Commack Rd
Ste 201
Commack, NY 11725
Phone (631) 638-0597

54 Commerce Ave
Ste 7
Riverhead, NY 11901
Phone (631) 444-1210

101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

100 Nicolls Rd
Rm 8
Stony Brook, NY 11794
Phone (202) 306-2352

200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: harry.mushlin@direct.stonybrookmedicine.edu
  • Direct secure messaging: hmushlin91532@direct.umm.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1518200781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117945305",
            "telephone_number": "631-444-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICOLLS ROAD",
            "address_2": "HSC T12 ROOM 08",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "202-306-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHLIN",
        "first_name": "HARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "309045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.