Individual provider Active NPI

Joseph Brooks, AGNPC

  • Nurse Practitioner
  • Fishkill, NY
National Provider Identifier
1598482291
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F310701-01 Issued in NY
Practice address
60 Merritt Blvd
Fishkill, NY 12524-2990
Phone
(845) 765-4990
Fax
(845) 765-4989
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F310701-01 NY Primary

Addresses

Primary practice location

60 Merritt Blvd
Fishkill, NY 12524-2990

Mailing address

76 Dashville Rd
New Paltz, NY 12561-4508
Phone (845) 443-1120

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310000942 NY Practitioner - Nurse Practitioner 2961875000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

60 Merritt Blvd
Fishkill, NY 12524-2990
Phone (845) 231-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310701-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 30, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 30, 2023 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

60 Merritt Blvd
Fishkill, NY 12524
Phone (845) 765-4990

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: jbrooks1@hiemail.healtheconnections.org
  • Direct secure messaging: jbrooks141988@direct.optum.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1598482291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 DASHVILLE RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125614508",
            "telephone_number": "845-443-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERRITT BLVD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242990",
            "telephone_number": "845-765-4990",
            "fax_number": "845-765-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JOSEPH",
        "credential": "AGNPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F310701-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.