Active NPI
Brandon Petrone
- Student in an Organized Health Care Education/Training Program
- Plainview, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 888 Old Country Rd
Plainview, NY 11803-4914 - Phone
- (516) 719-2546
- NPI assigned
- Apr 2, 2017
- Last updated
- Sep 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
888 Old Country Rd
Plainview, NY 11803-4914
Mailing address
888 Old Country Rd
Plainview, NY 11803-4914
Other practice location 1
13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378
46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone (631) 587-1800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 43 |
| Laminectomy or laminotomy (partial removal of spine bones) | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| South Shore University Hospital | Past | Accepting new patients | |
| Medical Services of Kips Bay PC | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
46 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 206-1384
46 Brentwood Rd
Fl 1
Bay Shore, NY 11706
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- brandonpetrone@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Orthopaedic Surgery Physician
- Garden City, NY
- NPI 1629671185
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1801328406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034914",
"telephone_number": "516-719-2546"
}
],
"practiceLocations": [
{
"address_1": "13225 N Meridian St",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460325480",
"country_code": "US",
"telephone_number": "317-228-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETRONE",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-02",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.