Active NPI
Lilith Michele Brodsky, AU.D
- Audiologist
- Delmar, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002744
- Practice address
- 250 Delaware Ave Ste 100
Delmar, NY 12054-1402 - Phone
- (518) 785-6566
- Fax
- (518) 640-6756
- NPI assigned
- Jul 26, 2017
- Last updated
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002744 | NY | Primary |
Addresses
Primary practice location
250 Delaware Ave Ste 100
Delmar, NY 12054-1402
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04781155 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Delaware Ave
Suite 100
Delmar, NY 12054-1402
Phone (518) 783-3110
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 98.76
- Improvement activities
- 40
- Cost
- 76.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002744 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Current | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
199 Delaware Ave
Delmar, NY 12054
Phone (518) 439-1131
250 Delaware Ave
Ste 100
Delmar, NY 12054
Phone (518) 439-8077
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 237-7363
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
Interoperability endpoints
- lilithbrodsky@ccp.allscriptsdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Bonadio Group | Skilled nursing facility | Managing Control - Governing Body Adp of the SNF |
Jun 19, 2023 Jun 19, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Albany, NY
- NPI 1194754366
Adp of the SNF, Managing Control - Governing Body
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
dba Community Care Lab Care
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
dba The Office of Marino Baselice
- Internal Medicine Physician
- Delmar, NY
- NPI 1285905786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1679097208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 DELAWARE AVE STE 100",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541402",
"telephone_number": "518-785-6566",
"fax_number": "518-640-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODSKY",
"first_name": "LILITH",
"middle_name": "MICHELE",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04781155",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delmar, NY
- Timothy Edward Braim, OD
- Robert Brand, DDS
- Tara B Bremer, M.A.
- Brian L. Fast, Psy.D. and Stephen P. Greggo, Psy.D, Psychologists, P.C (Capital Area Christian Counseling Asso)
- Lorraine E. Briggs, P.T.
- Cheryl Lynne Bruen, DPT
- John A Bruno, LCSW
- Gladys A Brusa, LMHC, CEAP, BCC
- Marisa E Bryant, MS, CCC-SLP
- Minoo M Buchanan, DMD MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.