Individual provider Active NPI

Alan N Meisel, MD

  • Psychiatry Physician
  • W Brentwood, NY
National Provider Identifier
1992871636
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
125183 Issued in NY
Practice address
998 Crooked Hill Rd
Buckman Center BLDG 47
W Brentwood, NY 11717-1087
Phone
(631) 761-2581
Fax
(631) 761-2244
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125183 NY Primary

Addresses

Primary practice location

998 Crooked Hill Rd
Buckman Center BLDG 47
W Brentwood, NY 11717-1087

Mailing address

1 Brandywine Dr
Setauket, NY 11717-1087
Phone (631) 761-2581

Other identifiers 2

IdentifierTypeStateIssuer
125183OtherNYNY LICENSE
00678928MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125183NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hands Across Long Island, Incorporated PastSince May 1, 2013 Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients
Genoa Healthcare LLC Past Accepting new patients

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992871636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRANDYWINE DR",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117171087",
            "telephone_number": "631-761-2581",
            "fax_number": "631-761-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "BUCKMAN CENTER BLDG 47",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171087",
            "telephone_number": "631-761-2581",
            "fax_number": "631-761-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISEL",
        "first_name": "ALAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "125183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "125183",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00678928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.