Active NPI
Brittany Willis, PA-C
- Physician Assistant
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 70-64 Yellowstone Blvd
Forest Hills, NY 11375-3563 - Phone
- (718) 408-4915
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
70-64 Yellowstone Blvd
Forest Hills, NY 11375-3563
Mailing address
2342 Cleveland St
North Bellmore, NY 11710-2164
Phone (516) 343-4304
Other practice location 1
21418 24th Ave
Bayside, NY 11360-2219
Phone (718) 428-6000
Other practice location 2
505 Grand Blvd Ste 1
Deer Park, NY 11729-5300
Phone (631) 243-1313
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21418 24TH Ave
Bayside, NY 11360-2219
Phone (212) 283-3000
229 7TH St
Suite 105
Garden City, NY 11530-5766
Phone (212) 283-3000
385 Merrick Rd
Amityville, NY 11701-3420
Phone (212) 283-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028073 | NY | MD | Physical Therapist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- brittany.willis@schweigerderm.emadirect.md
Organizations & group practices 1
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.
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1902552649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2342 CLEVELAND ST",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117102164",
"telephone_number": "516-343-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70-64 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753563",
"telephone_number": "718-408-4915"
}
],
"practiceLocations": [
{
"address_1": "21418 24th Ave",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113602219",
"country_code": "US",
"telephone_number": "718-428-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 Grand Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "NY",
"postal_code": "117295300",
"country_code": "US",
"telephone_number": "631-243-1313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "BRITTANY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2023-03-06",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.