Stefan Bradu, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2321771 Issued in NY

Practice address

10721 Queens Blvd
Suite1
Forest Hills, NY 11375-4413

Phone

(718) 541-0593

NPI assigned

Jun 30, 2006

Last updated

Dec 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

State University of New York Downstate Medical Center, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians of University Hospital PCGroup PAC ID 5890877542, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: sbradu67138@northwell.direct-ci.com

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.

• Physicians of University Hospital, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1417901323
  Medicare reassignment Care Compare group NPD
• Orbuch, Brand Dermatology Associates LLP

  • MOHS-Micrographic Surgery Physician
  • Bethpage, NY
  • NPI 1992785117

  Dermatology

  Medicare reassignment NPD
• Dermatology&Aesthetics P.C.

  • Dermatology Physician
  • Rego Park, NY
  • NPI 1598963217
  Authorized official Same address or phone
• Physicians of University Hospital PC

  • Allergy & Immunology Physician
  • Staten Island, NY
  • NPI 1013368224
  NPD
• Physicians of University Hospital, PC

  • Anesthesiology Physician
  • Bay Shore, NY
  • NPI 1023513116
  NPD

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

• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1538198809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 65TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745035",
            "telephone_number": "171-854-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD",
            "address_2": "SUITE1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754413",
            "telephone_number": "718-541-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADU",
        "first_name": "STEFAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2321771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Boyle, ATC
• Atiya Sonique Brabham, MSED
• Latisha Brace
• Braces and Smiles PC (Braces and Smiles)
• Michelle Bradford
• Megan Catherine Brady
• Melina Bragoni
• Eliora Braithwaite
• John Anthony Brancato, MHC-LP
• Temitope Branco, NP

• Dermatology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.