Brian DO

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

026929 Issued in NY

Practice address

1677 New Hyde Park Dr
New Hyde Park, NY 11040-3203

Phone

(516) 457-3306

NPI assigned

Dec 19, 2019

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.97 of 100Reported as group

Quality

87.04

Promoting interoperability

77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

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.

• Ronald R Brancaccio MD & Peter Saitta DO PC

  dba The Skin Institute of New York

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1386719425
  Medicare reassignment
• Saitta Dermatology PC

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1083233324
  Medicare reassignment
• Pharma Holding Inc

  dba Kent Pharmacy

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1649818782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 NEW HYDE PARK DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403203",
            "telephone_number": "516-457-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 NEW HYDE PARK DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403203",
            "telephone_number": "516-457-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Dispigno, NP
• Kara Ditta
• Klaus Dittmar, M.D.
• Divine Padilla PT PC
• Emma Dixon, MD
• Michelle DO, PHARMD
• Dean Irwin Dobbin, M.D.
• Marie Dobrayel
• Martine Blanchard Dobrescu, N.P.
• Sorina Viorica Dogaru-Lungu, M.D.

• Physician Assistant in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.