Mitchell S Brookstone, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

042202 Issued in NY

Practice address

1228 Wantagh Ave
Suite 101
Wantagh, NY 11793-2209

Phone

(516) 826-1666

Fax

(516) 783-7716

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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.

• Dr Mitchell Brookstone DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Wantagh, NY
  • NPI 1548434095

  NY, Oral and Maxillofacial Surgery

  Medicare reassignment NPD Authorized official

Specialty

Oral Surgery

Education

New York University College of Dentistry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992784748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 WANTAGH AVE",
            "address_2": "SUITE 101",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932209",
            "telephone_number": "516-826-1666",
            "fax_number": "516-783-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 WANTAGH AVE",
            "address_2": "SUITE 101",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932209",
            "telephone_number": "516-826-1666",
            "fax_number": "516-783-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSTONE",
        "first_name": "MITCHELL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "042202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01469887",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Renee Bristoll
• Bianca Brito, PHLEBOTOMIST
• Una Mary Broderick, P.T.
• Bronx Neighborhood NP in Family and Womens Health Care PLLC
• Marjorie Brook, LMT
• Brookville Center for Children'S Services Inc.
• James John Brostowin, D.C.
• Robert L Brostowin, DC PC
• Alexandra Brown, LMHC, CASAC
• Susan Marie Browne, MS, CCC-SLP

• All providers in Wantagh, NY
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.