Stewart Charles Brody, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

040136-1 Issued in NY

Practice address

17 Maple Drive
Great Neck, NY 11021-2000

Phone

(516) 482-2215

Fax

(516) 482-5410

NPI assigned

Sep 28, 2006

Last updated

May 18, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stewart Brody DDS

  • Dental Clinic/Center
  • Great Neck, NY
  • NPI 1609154806
  NPD (past) Authorized official
• Family Dentist of Great Neck

  dba Preferred Dental Care - Great Neck

  • Public Health Dentistry
  • Great Neck, NY
  • NPI 1992587505

  General Practice

  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1659462026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAPLE DRIVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212000",
            "telephone_number": "516-482-2215",
            "fax_number": "516-482-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAPLE DRIVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212000",
            "telephone_number": "516-482-2215",
            "fax_number": "516-482-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "STEWART",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040136-1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Brennan, PH.D.
• Brian D. Cohen, M.D., PLLC
• Jaclyn Taylor Brigandi
• Bianca Brockman, PA-C
• Liat Mindy Brody, M.S., OTR/L
• Richard Lawrence Bronzo X, MD
• Donna Marie Brook, FNP
• Janet T Brooks, PA
• Stephanie Brooks
• David Peter Bross, M.D.

• Dentist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.