Individual provider Active NPI

Albert Joseph Werrell, MD

  • Nuclear Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1962410878
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
1954731 Issued in NY
Practice address
2222 Coney Island Ave
Brooklyn, NY 11223-3338
Phone
(718) 336-6667
Fax
(718) 336-1117
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1954731 NY
Nuclear Medicine Physician 207U00000X 1954731 NY Primary

Addresses

Primary practice location

2222 Coney Island Ave
Brooklyn, NY 11223-3338

Mailing address

6 Pine Tree PL
West Caldwell, NJ 07006-7328
Phone (718) 336-6667

Other identifiers 1

IdentifierTypeStateIssuer
01497149MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20050421000406 NY Practitioner - Nuclear Medicine 6608814538 Reassigns benefits to 2 organizations
I20240722001400 FL Practitioner - Nuclear Medicine 6608814538

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwood Medical P.C.Group PAC ID 3274424593, 4 clinicians

Practice addresses (Care Compare)

2222 Coney Island Ave
Brooklyn, NY 11223-3338
Phone (718) 336-6667

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1954731NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwood Medical P.C. CurrentSince Jan 24, 2001 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 23, 2023 Accepting new patients
University Group Medical Associates, P.C Internal Medicine Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

2222 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 336-6667

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1962410878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PINE TREE PL",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067328",
            "telephone_number": "718-336-6667",
            "fax_number": "718-336-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233338",
            "telephone_number": "718-336-6667",
            "fax_number": "718-336-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERRELL",
        "first_name": "ALBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1954731",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "1954731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.