Active NPI
Neil Irwin Brody, MD, PHD
- Specialist
- Manhasset, NY
National Provider Identifier
1790768224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1350 Northern Blvd
Manhasset, NY 11030-3004 - Phone
- (516) 365-5652
- Fax
- (516) 365-4550
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
1350 Northern Blvd
Manhasset, NY 11030-3004
Mailing address
1578 Laurel Hollow Rd
Laurel Hollow, NY 11791-9636
Phone (516) 692-6766
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65697 | Other | NY | AETNA HMO |
| 8027 | Other | NY | VYTRA |
| 1125177310NY | Other | NY | HORIZON |
| 0037372 | Other | NY | GHI |
| NB03K08920 | Other | NY | EMPIRE BC/BS |
| 3C6491 | Other | NY | GUARDIAN / HEALTHNET |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040716000353 | NY | Practitioner - Dermatology | 3971582610 |
Receives reassigned benefits from 1 practitioner Practice locations: Manhasset, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- New York University Medical College - NLG, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1350 Northern Blvd
Manhasset, NY 11030-3004
Phone (516) 365-5652
1350 Northern Blvd
Manhasset, NY 11030-3013
Hospital & facility affiliations
- Mount Sinai Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 83 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Hospital & facility affiliations 6
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": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1790768224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 LAUREL HOLLOW RD",
"city": "LAUREL HOLLOW",
"state": "NY",
"postal_code": "117919636",
"telephone_number": "516-692-6766",
"fax_number": "516-692-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 NORTHERN BLVD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303004",
"telephone_number": "516-365-5652",
"fax_number": "516-365-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "NEIL",
"middle_name": "IRWIN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "65697",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "8027",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "1125177310NY",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0037372",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "NB03K08920",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN / HEALTHNET",
"identifier": "3C6491",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Apr 17, 2008; 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.