Organization Active NPI

Steven Brooks DO PC

  • Dermatology Physician
  • Manhasset, NY
National Provider Identifier
1730547506
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
259565 Issued in NY
Legal business name
STEVEN BROOKS DO PC
Practice address
444 Community Dr
Suite 102
Manhasset, NY 11030-3803
Phone
(516) 439-4707
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. Steven Jacob Brooks, D.O.NPI 1073800165
Title
Ceo
Phone
(305) 934-6779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 259565 NY Primary

Addresses

Primary practice location

444 Community Dr
Suite 102
Manhasset, NY 11030-3803

Mailing address

444 Community Dr
Suite 102
Manhasset, NY 11030-3803
Phone (516) 439-4707

Other names 1

  • Brooks Dermatology PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160601000626 NY Part B Supplier - Clinic/Group Practice 5496045643 Receives reassigned benefits from 2 practitioners
Practice locations: Manhasset, NY

National Provider Directory

National Provider Directory

Locations

444 Community Dr
Ste 102
Manhasset, NY 11030
Phone (516) 439-4707

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1730547506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR",
            "address_2": "SUITE 102",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303803",
            "telephone_number": "516-439-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR",
            "address_2": "SUITE 102",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303803",
            "telephone_number": "516-439-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN BROOKS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-934-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "259565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Dermatology PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.