Individual provider Active NPI

Jonathan L. Brisman, MD

  • Neurological Surgery Physician
  • Edison, NJ
National Provider Identifier
1730189168
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA07899300 Issued in NJ
Practice address
65 James St
Edison, NJ 08820-3947
Phone
(732) 321-7010
Fax
(732) 632-1584
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA07899300 NJ Primary
Neurological Surgery Physician 207T00000X MD0004425 WA
Neurological Surgery Physician 207T00000X 225989-1 NY

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3947

Mailing address

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7010

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
I20070802000620 NY Practitioner - NeurosurgeryPractitioner - Vascular Surgery 3072577220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Vascular Surgery
Education
Columbia University College of Physicians and Surgeons, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Surgery Practice of Long Island PLLCGroup PAC ID 0345131785, 14 clinicians

Practice addresses (Care Compare)

1991 Marcus Ave
Suite 108
New Hyde Park, NY 11042-2062
Phone 516442346110

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07899300NJMDNeurological Surgery Physician
225989-1NYMDNeurological Surgery Physician
MD0004425WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Practice of Long Island PLLC Neurological Surgery CurrentSince Jul 15, 2007 Accepting new patients
Community Hospital Group, Inc Neurological Surgery Past Accepting new patients
NSPC Plastics PastSince Jul 15, 2007 Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

1991 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 442-2250

100 Merrick Rd
Ste 128W
Rockville Ctr, NY 11570
Phone (516) 255-9031

100 Merrick Rd
Ste 100W
Rockville Ctr, NY 11570
Phone (516) 632-7050

Interoperability endpoints

  • Direct secure messaging: jbrisman307842@nyumc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730189168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7010",
            "fax_number": "732-632-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7010",
            "fax_number": "732-632-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISMAN",
        "first_name": "JONATHAN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA07899300",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD0004425",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "225989-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.