Individual provider Active NPI

Masood Yeroushalmi, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1689607434
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
225569 Issued in NY
Practice address
375 Stockholm Street
Brooklyn, NY 11237
Phone
(718) 960-6551
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 225569 NY Primary

Addresses

Primary practice location

375 Stockholm Street
Brooklyn, NY 11237

Mailing address

375 Stockholm Street
C/O Faculty Practice
Brooklyn, NY 11237
Phone (718) 960-6551

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080501000618 NY Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 5496834491 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225569NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Jul 8, 2013 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Jan 14, 2025 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Sep 26, 2023 Accepting new patients
Samaritan Emergency Medical Services, PC CurrentSince Feb 11, 2017 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Feb 11, 2017 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Sep 26, 2023 Accepting new patients
Bimc Faculty Practice Pediatrics Past Accepting new patients
Wyckoff Emergency Medicine Services, P.C. PastSince Jun 1, 1999 Accepting new patients
Park Slope Emergency Physician Services, PC Past Accepting new patients

Locations

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

50 E Jericho Tpke
Mineola, NY 11501
Phone (516) 399-3068

1436 Union Tpke
New Hyde Park, NY 11040
Phone (516) 360-3631

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: masood.yeroushalmi@ghuc.eclinicaldirectplus.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1689607434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 STOCKHOLM STREET",
            "address_2": "C/O FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-960-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 STOCKHOLM STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-960-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEROUSHALMI",
        "first_name": "MASOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "225569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.