DR. ALAN LEON NISSENBAUM MD
NPI 1295879120
Internal Medicine - Nephrology in Brooklyn, NY

Q: What is Alan Nissenbaum's NPI number?

The NPI number for Alan Nissenbaum is 1295879120. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Alan Nissenbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Alan Nissenbaum was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment

3915 AVENUE V STE 104, BROOKLYN, NY 11234(718) 252-8440 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alan Leon Nissenbaum Md NPPES

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

DR. ALAN LEON NISSENBAUM MD (NPI 1295879120) is an individual nephrology provider in Brooklyn, New York, licensed in New York (177636) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1295879120

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ALAN LEON NISSENBAUMCredential: MD

Location Address3915 AVENUE V STE 104Brooklyn, NY 11234-5156

Mailing Address2152 Ralph Ave # 428Brooklyn, NY 11234-5406 · (718) 998-7363 · Fax (718) 998-7592

Phone(718) 252-8440

Sole ProprietorYes

Medical School CMSOtherGraduated 1983

Enumeration DateFebruary 16, 2007

Last NPPES UpdateSeptember 1, 2022

NPPES CertifiedSeptember 1, 2022

✔ NPI 1295879120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 177636

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3915 AVENUE V STE 104, Brooklyn, NY 11234

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Secondary Practice Locations 2

Location 11636 E 14th St, Suite 114Brooklyn, NY 11229-1100 · Phone (718) 998-7363 · Fax (718) 998-7592

Location 21435 86th StBrooklyn, NY 11228-3435 · Phone (718) 256-5800

Other Identifiers 1

Medicaid01851147NY

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

Dr. Alan Leon Nissenbaum Md 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 ID7719969088

PECOS Enrollment IDI20040602000586

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11234 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims360 services$0.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alan Nissenbaum's NPI number?

The NPI number for Alan Nissenbaum is 1295879120. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Alan Nissenbaum located?

Alan Nissenbaum practices at 3915 Avenue V Ste 104, Brooklyn, NY 11234. The listed phone number is (718) 252-8440.

What is Alan Nissenbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Alan Nissenbaum enrolled in Medicare?

Yes. Alan 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.

When was this NPI record last updated?

The NPPES record for Alan Nissenbaum was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.