Individual provider Active NPI

Yuri A. Birbrayer, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1861478075
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
162525 Issued in NY
Practice address
1419 Mermaid Ave
Brooklyn, NY 11224-2615
Phone
(718) 210-3110
Fax
(718) 333-0865
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 162525 NY Primary

Addresses

Primary practice location

1419 Mermaid Ave
Brooklyn, NY 11224-2615

Mailing address

35 Seacoast Tertace
Suite 15W
Brooklyn, NY 11235-6040
Phone (718) 946-8585

Other identifiers 1

IdentifierTypeStateIssuer
00929699MedicaidNY

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
I20050404000062 NY Practitioner - Internal Medicine 9638126774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Initiatives, Inc.Group PAC ID 6709185408, 23 clinicians

Practice addresses (Care Compare)

1419 Mermaid Ave
Brooklyn, NY 11224-2615
Phone (718) 210-3110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162525NYMDInternal Medicine Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Mermaid Operating Co, LLC Internal Medicine CurrentSince Nov 4, 2005 Accepting new patients
Community Health Initiatives, Inc. CurrentSince Apr 4, 2016 Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients
Adult Medical Care, P.C. Internal Medicine Past Accepting new patients
Yuri Birbrayer Physician PC Past Accepting new patients
A Merryland Operating LLC PastSince Nov 4, 2005 Accepting new patients

Locations

1419 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 210-3110

1704 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 265-0900

1704 Mermaid Ave
#1706
Brooklyn, NY 11224
Phone (718) 265-0900

Networks

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

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_chi

Organizations & group practices 6

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1861478075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SEACOAST TERTACE",
            "address_2": "SUITE 15W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356040",
            "telephone_number": "718-946-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242615",
            "telephone_number": "718-210-3110",
            "fax_number": "718-333-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRBRAYER",
        "first_name": "YURI",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00929699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.