Active NPI
Arnold I Brenner, D.O.
- Diagnostic Radiology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 132548
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-9175
- Fax
- (718) 226-8198
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 132548 | NY | Primary |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
PO Box 30749
Staten Island, NY 10303-0749
Phone (718) 947-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040330000011 | NY | Practitioner - Nuclear Medicine | 9032001367 | Reassigns benefits to 3 organizations |
| I20260312000006 | NJ | Practitioner - Nuclear Medicine | 9032001367 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- College of Osteopathic Physicians and Surgeons of Los Angeles, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
256 Mason Ave B
Staten Island, NY 10305-3408
Phone (718) 226-1595
6103 Veterans Dr
Wharton, NJ 07885-4225
Phone (516) 405-7000
Hospital & facility affiliations
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132548 | NY | MD | Diagnostic Radiology Physician |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Goethals Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Verrazano Radiology Asociates, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538
1999 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 233-3701
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1220 Hicksville Rd
Seaford, NY 11783
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
256 Mason Ave
#B
Staten Island, NY 10305
Phone (718) 226-6790
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
256 Mason Ave
Bldg B
Staten Island, NY 10305
Phone (718) 226-1271
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
256 Mason Ave
Staten Island, NY 10305
Phone (718) 226-9508
221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- abrenner68481@northwell.direct-ci.com
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
NY
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
NJ, NY
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1962492546
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1417982539
Diagnostic Radiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1891710885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30749",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103030749",
"telephone_number": "718-947-7000",
"fax_number": "718-420-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-9175",
"fax_number": "718-226-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "ARNOLD",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "132548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.