Gregory R. Brevetti, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

222936-1 Issued in NY

Practice address

8318 4TH Ave
Brooklyn, NY 11209-4413

Phone

(718) 748-0500

Fax

(718) 748-5539

NPI assigned

Dec 22, 2005

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

Other identifiers 1

Electronic endpoints 1

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

Thoracic Surgery

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Coastal Medical Services of Ny PLLC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1689334310
  Medicare reassignment NPD Authorized official
• Gregory R Brevetti, M.D, PC.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
  • NPI 1962027078
  Medicare reassignment NPD
• NYU Langone Hospitals

  • Internal Medicine Physician
  • New York, NY
  • NPI 1790975944
  Medicare reassignment NPD
• Shore to Shore Medical Wellness PLLC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1679211965
  NPD Authorized official
• Blue Coast Medical Wellness, PLLC

  • Specialist
  • Aquebogue, NY
  • NPI 1710760376
  NPD (past) Authorized official
• Coast to Coast Medical Wellness, PLLC

  • Specialist
  • Melville, NY
  • NPI 1093432445
  NPD (past) Authorized official
• Interboro Surgical Associates, P.C.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1679670210
  NPD (past) Authorized official
• NYU Langone Hospitals

  • Psychiatric Hospital Unit
  • Patchogue, NY
  • NPI 1508687021
  NPD
• NYU Langone Hospitals

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1831549559
  NPD
• NYU Lutheran Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1538111653
  NPD (past)
• University Physicians of Brooklyn, Inc

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1104878180
  NPD (past)
• University Physicians of Brooklyn, Inc.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1538116082

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1619954435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094413",
            "telephone_number": "718-748-0500",
            "fax_number": "718-748-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094413",
            "telephone_number": "718-748-0500",
            "fax_number": "718-748-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVETTI",
        "first_name": "GREGORY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "222936-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02313817",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbrevetti132642@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "8318 4th Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112094413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rivka Breuer
• Ruthi Breuer
• Yittel Breuer, M.S. IN SPECIAL ED
• Basya Brevda
• Meir Brevda
• Melissa Brevetti, MS EDUCATION
• Teresa L Brevetti, MD
• Julianna Elizabeth Breviario
• Yvrose Brevil Joseph, RN
• Alex Brevil, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.