MATHEW BIRNBAUM MD
NPI 1306334388
Dermatology in Greenlawn, NY

Q: What is Mathew Birnbaum's NPI number?

The NPI number for Mathew Birnbaum is 1306334388. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Q: What is Mathew Birnbaum's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mathew Birnbaum was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 25, 2018PECOS EnrolledAccepts Medicare Assignment

5 CUBA HILL RD, GREENLAWN, NY 11740(631) 628-5000 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2022, Apr 25, 2018 (2 updates tracked since 2018).

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About Mathew Birnbaum Md NPPES

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

MATHEW BIRNBAUM MD (NPI 1306334388) is an individual dermatology provider in Greenlawn, New York, licensed in New York (315891) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2018).

NPPES Registry Identity

NPI1306334388

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameMATHEW BIRNBAUMCredential: MD

Location Address5 CUBA HILL RDGreenlawn, NY 11740-1624

Mailing Address350 E 17th StNew York, NY 10003-3805

Phone(631) 628-5000

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2018

Enumeration DateApril 25, 2018

Last NPPES UpdateJune 8, 20222 updates tracked since enumeration

NPPES CertifiedJune 8, 2022

✔ NPI 1306334388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NY · 315891

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5 CUBA HILL RD, Greenlawn, NY 11740

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Secondary Practice Location 1

Location 1350 E 17th StNew York, NY 10003-3805 · Phone (212) 420-3363

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mathew Birnbaum 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 ID8820334071

PECOS Enrollment IDI20220711001820

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.

Medicare Billing Reassignment

Medicare enrollment records show Mathew Birnbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore Medical Group Of The Mount Sinai School Of Medicine

0.4 mi

Internal Medicine

5 CUBA HILL RD
Greenlawn, NY 11740

Reassigned Medicare billing, New York enrollment
572 clinicians in this Medicare group

NPI 1275640609 (631) 628-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

582 services454 patients

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.

329 services253 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

228 services183 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

186 services186 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

124 services74 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

121 services110 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

103 services95 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

90 services90 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

24 services20 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

15 services12 patients

Acne surgery 10040

Acne surgery is a procedure to clear up severe acne that doesn't respond to other treatments. It involves a dermatologist using specialized tools to remove blackheads, whiteheads, and pimples. This helps to reduce the appearance of acne and prevent future breakouts.

13 services13 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11740 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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.

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