Active NPI
David J. Brodow, MD
- Anesthesiology Physician
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 236328
- Practice address
- 400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417 - Phone
- (914) 666-1691
- NPI assigned
- May 20, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 236328 | NY | Primary |
Addresses
Primary practice location
400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417
Mailing address
118 N Bedford Rd
Suite 200
Mount Kisco, NY 10549-2553
Phone (914) 666-8866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02724821 | Medicaid | NY |
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
- Anesthesiology
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13621 NW 12TH St
3Rd FL
Fort Lauderdale, FL 33323-2808
255 W Michigan Ave
PO Box 1123
Jackson, MS 49204-1123
PO Box
Suite 551420
Fort Lauderdale, FL 33355-1420
Hospital & facility affiliations
- Maimonides Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236328 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Boro Park, LLP | Anesthesiology | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| Leela Kasturi MD, PC. | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Anesthesiology | Past | Accepting new patients |
| Maimonides Department of Psychiatry FPP | Past | Accepting new patients | |
| American Anesthesiology of New York, PC | Anesthesiology | Past | Accepting new patients |
| Aabp LLC | Anesthesiology | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
19701 Hillside Ave
Hollis, NY 11423
Phone (718) 896-2710
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Interoperability endpoints
- davidbrodow@mai.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Anesthesiology Physician
- Mount Kisco, NY
- NPI 1114973724
-
- Gastroenterology Physician
- Forest Hills, NY
- NPI 1801061031
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- Anesthesiology Physician
- New York, NY
- NPI 1841239829
-
- Anesthesiology Physician
- Englewood Cliffs, NJ
- NPI 1518330638
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1902850233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N BEDFORD RD",
"address_2": "SUITE 200",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492553",
"telephone_number": "914-666-8866",
"fax_number": "914-666-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"address_2": "NORTHERN WESTCHESTER HOSPITAL",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "914-666-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODOW",
"first_name": "DAVID",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "236328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02724821",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.