Stacey F. Brisman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2395481 Issued in NY

Practice address

50 Glen Cove Rd
Greenvale, NY 11548-1062

Phone

(516) 200-3545

Fax

(516) 876-8010

NPI assigned

Aug 19, 2008

Last updated

Aug 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Emory University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stacey F. Brisman MD PCGroup PAC ID 5294077277, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stacey F Brisman MD PC

  dba Walk- In Dermatology

  • Dermatology Physician
  • Greenvale, NY
  • NPI 1336618941
  Medicare reassignment Care Compare group NPD
• Wesson Dermatology, PC

  • Dermatology Physician
  • Great Neck, NY
  • NPI 1346514411
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1679720825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1153",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910489",
            "telephone_number": "516-621-1982",
            "fax_number": "516-621-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLEN COVE RD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481062",
            "telephone_number": "516-200-3545",
            "fax_number": "516-876-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISMAN",
        "first_name": "STACEY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2395481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariele Bongiovanni
• Erina Boyle, NP
• Julia Madeline Bradley, PA-C
• Robert Brennan, PT
• David Brieff, M.D.
• Alan Bulbin, M.D.
• Alexandra Caldwell
• Laura Cavalcante, PT
• Wallace Peter Chan, M.D.
• Corey Chang, M.D., PH.D.

• Dermatology Physician in Greenvale, NY
• Providers in Greenvale, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.