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ANDREA NISSENBAUM
NPI 1255342325
Internal Medicine in Brooklyn, NY

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
2601 OCEAN PKWY, BROOKLYN, NY 11235(718) 616-4408(718) 616-4105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Nissenbaum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA NISSENBAUM (NPI 1255342325) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (149201-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of State University Of New York Downstate Medical Center (1980).

NPPES Registry Identity

NPI1255342325
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANDREA NISSENBAUM
Location Address2601 OCEAN PKWYBrooklyn, NY 11235-7745
Mailing Address2636 E 64th StBrooklyn, NY 11234-6816 · (718) 763-8972
Phone(718) 616-4408
Fax(718) 616-4105
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1980
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255342325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 149201-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2601 OCEAN PKWY, Brooklyn, NY 11235
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Other Identifiers 3

Medicare UPINB20297NY
Medicare ID-Type Unspecified95A841NY
Medicaid00772087NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Nissenbaum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113901703
PECOS Enrollment IDI20040614000108
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330196
Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEYLA DAHBALI PA
Physician Assistant
2601 OCEAN PKWY, 8TH FLOOR ROOM 8N53
BROOKLYN, NY 11235
Kings County (718) 616-3260
DIMITRI LIVSHITS DO
Emergency Medicine
2601 OCEAN PKWY
BROOKLYN, NY 11235
Kings County (718) 616-3000
SAMIRA DUJA
Pharmacist
2601 OCEAN PKWY, 2N1D - INPATIENT PHARMACY
BROOKLYN, NY 11235
Kings County (718) 616-3636
RAJWOANA AHMED PHARMD
Pharmacist
2601 OCEAN PKWY
BROOKLYN, NY 11235
Kings County (718) 616-3000
RACHEL PASTERNAK
Physician Assistant
2601 OCEAN PKWY
BROOKLYN, NY 11235
Kings County (718) 616-3000
ARISTOTLE JOHN LYSSIKATOS DDS
Dentist (General Practice)
2601 OCEAN PKWY
BROOKLYN, NY 11235
Kings County (718) 319-4339
MS. ELIZABETH A CLEARY BS
Pharmacist
2601 OCEAN PKWY, PHARMACY DEPARTMENT
BROOKLYN, NY 11235
Kings County (718) 616-4080
DR. OLUFEMI OGUNSEMI DDS
Student in an Organized Health Care Education/Training Program
2601 OCEAN PKWY
BROOKLYN, NY 11235
Kings County (718) 449-1889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Nissenbaum's NPI number?

The NPI number for Andrea Nissenbaum is 1255342325. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Andrea Nissenbaum located?

Andrea Nissenbaum practices at 2601 Ocean Pkwy, Brooklyn, NY 11235. The listed phone number is (718) 616-4408.

What is Andrea Nissenbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrea Nissenbaum enrolled in Medicare?

Yes. Andrea Nissenbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Andrea Nissenbaum affiliated with any hospitals?

According to CMS data, Andrea Nissenbaum is affiliated with South Brooklyn Health.

When was this NPI record last updated?

The NPPES record for Andrea Nissenbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.