Individual provider Active NPI

Brian Brazzo, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1922083179
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
193580 Issued in NY
Practice address
115 E 61St St
New York, NY 10065-8183
Phone
(212) 734-7788
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 193580 NY Primary

Addresses

Primary practice location

115 E 61St St
New York, NY 10065-8183

Mailing address

115 E 61St St
New York, NY 10065-8183

Other practice location 1

611 River Dr Fl 1
Elmwood Park, NJ 07407-1325
Phone (844) 802-2020

Other identifiers 2

IdentifierTypeStateIssuer
48Z391OtherMEDICARE PROVIDER
02107757MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040422001688 NY Practitioner - Ophthalmology 8325034465 Reassigns benefits to 2 organizations
I20050909000392 NJ Practitioner - Ophthalmology 8325034465 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Eye Surgery Associates PLLCGroup PAC ID 6800785148, 8 clinicians
Gregory J Pamel MD PCGroup PAC ID 6103940671, 3 clinicians
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
Corey M. Notis, M.D., P.a.Group PAC ID 1456365154, 12 clinicians
Center for Excellence in Cataract and Eye SurgeryGroup PAC ID 1456877992, 3 clinicians

Practice addresses (Care Compare)

1101 Pelham Pkwy N
Bronx, NY 10469-5411
Phone (718) 519-1000

115 E 61St St
Suite 1
New York, NY 10065-8186
Phone (212) 355-2215

115 E 61St St
Suite 1B
New York, NY 10065-8184

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

155 Morris Ave
Suite 302
Springfield, NJ 07081-1224
Phone (973) 232-6900

611 River Dr
Elmwood Park, NJ 07407-1325
Phone (844) 802-2020

619 River Dr
Elmwood Park, NJ 07407-1317
Phone (201) 693-4330

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
97
Improvement activities
40
Cost
77.62

Merit-based Incentive Payment System (MIPS)

Final score
95.35 of 100Reported as group
Quality
90.7
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.89

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193580NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corey M. Notis, M.D., P.a. Ophthalmology CurrentSince Jan 8, 2013 Accepting new patients
Omni Eye Specialists P a Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Gregory J Pamel MD PC Ophthalmology CurrentSince Jul 1, 2010 Accepting new patients
Center for Excellence in Cataract & Eye Surgery Ophthalmology CurrentSince Feb 1, 2025 Accepting new patients
Corey M. Notis, M.D., P.a. Ophthalmology CurrentSince Jan 8, 2013 Accepting new patients
Eye Centers of America, LLC Ophthalmology CurrentSince Oct 9, 2023 Accepting new patients
Palisade Eye Associates,P.C. Ophthalmology CurrentSince Feb 1, 2013 Accepting new patients
New York Eye Surgery Associates PLLC CurrentSince Nov 1, 2004 Accepting new patients
Joseph a. Deluca, M.D., P.C. Ophthalmology PastSince Apr 23, 2018 Accepting new patients
Pamel Vision and Laser Group Ophthalmology Past Accepting new patients
River Drive Surgery Center, LLC PastSince Jan 1, 2010 Accepting new patients
Capital Eye Physicians & Surgeons, LLC Ophthalmology Past Accepting new patients
Capital Eye Physicians & Surgeons LLC Ophthalmology Past Accepting new patients
Eyecare 20/20- West Orange PA Ophthalmology Past Accepting new patients
Raymond Fong MD, PC Ophthalmology Past Accepting new patients
Mark Fromer, MD PC Ophthalmology PastSince Aug 1, 2008 Accepting new patients

Locations

594 Broadway
Bayonne, NJ 07002
Phone (201) 858-5722

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

619 River Dr
Fl 1
Elmwood Park, NJ 07407
Phone (201) 703-2900

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

619 River Dr
Fl 2
Elmwood Park, NJ 07407
Phone (201) 796-2020

611 River Dr
Elmwood Park, NJ 07407
Phone (844) 802-2020

611 River Dr
Fl 1
Elmwood Park, NJ 07407
Phone (844) 802-2020

619 River Dr
#12
Elmwood Park, NJ 07407

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

155 Morris Ave
Ste 302
Springfield, NJ 07081
Phone (973) 232-6900

727 Galloping Hill Rd
Union, NJ 07083
Phone (908) 558-1717

900 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-9330

2201 Bergenline Ave
Ste 3
Union City, NJ 07087
Phone (908) 341-2629

2308 30th Ave
Ste 5
Astoria, NY 11102
Phone (718) 278-3800

1101 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 515-3500

8723 3rd Ave
Brooklyn, NY 11209
Phone (718) 836-1779

115 E 61st St
Bsmt 1
New York, NY 10065
Phone (212) 355-2215

115 E 61st St
Ste 1B
New York, NY 10065
Phone (212) 355-2215

Networks

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

Interoperability endpoints

  • Direct secure messaging: bbrazzo@ecoa.intellechartdirect.net
  • Direct secure messaging: bbrazzo@associneyecare.direct.eyemdemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bbrazzo@kvs.intellechartdirect.net
  • Direct secure messaging: bbrazzo@pamel.intellechartdirect.net

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1922083179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658183",
            "telephone_number": "212-734-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 River Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "NJ",
            "postal_code": "074071325",
            "country_code": "US",
            "telephone_number": "844-802-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZZO",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "193580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "48Z391",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02107757",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.