Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEY F BRISMAN MD PC
NPI 1336618941
Dermatology in Greenvale, NY

Active since November 13, 2018CLIA 33D2165706 · Microscopy
50 GLEN COVE RD, GREENVALE, NY 11548(516) 621-1982(516) 621-1340 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 16, 2026, Sep 28, 2026, Sep 14, 2026 and 5 more (8 updates tracked since 2018).

About Stacey F Brisman Md Pc NPPES

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

STACEY F BRISMAN MD PC (NPI 1336618941), doing business as Walk- In Dermatology, is a healthcare organization registered as a dermatology in Greenvale, New York and active in the NPI registry since November 2018. The organization holds a CLIA Microscopy certificate valid through May 2, 2027, maintains 2 additional practice locations, and lists Robert S Levy, Owner, as its authorized official.

NPPES Registry Identity

NPI1336618941
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSTACEY F BRISMAN MD PC
Location Address50 GLEN COVE RDGreenvale, NY 11548-1062
Mailing AddressPo Box 1153Syosset, NY 11791-0489 · (516) 621-1982 · Fax (516) 621-1340
Fax(516) 621-1340
Organization SubpartNo
Authorized OfficialRobert S LevyOwner · (516) 987-6431
Enumeration DateNovember 13, 2018
Last NPPES UpdateOctober 16, 20268 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1336618941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
50 GLEN COVE RD, Greenvale, NY 11548

Other Names 2

Doing Business AsWalk- In Dermatology
Doing Business AsWalk-in Dermatology

Secondary Practice Locations 2

Location 1877 Stewart Ave Ste 27Garden City, NY 11530-4803 · Phone (516) 745-0606 · Fax (516) 745-0679
Location 2441 S Oyster Bay RdPlainview, NY 11803-3313 · Phone (516) 388-6622

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey F Brisman Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Stacey F Brisman MD PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Dermatology
NPI 1215215355
1045 NORTHERN BLVD FL 2
Roslyn, NY 11576
(516) 279-2616
✔ PECOS✔ Accepts Medicare2.2 mi
Dermatology
NPI 1679720825
1000 NORTHERN BLVD STE 140
Great Neck, NY 11021
(516) 846-3300
✔ PECOS4.7 mi
Plastic and Reconstructive Surgery
NPI 1891957148
650 NORTHERN BLVD
Great Neck, NY 11021
(516) 466-7000
✔ PECOS✔ Accepts Medicare5.1 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1831212265
877 STEWART AVE STE 27
Garden City, NY 11530
(516) 745-0606
✔ PECOS✔ Accepts Medicare5.5 mi
Dermatology
NPI 1922363605
70 E SUNRISE HWY
Valley Stream, NY 11581
(516) 536-5656
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1861897290
2381 38TH ST
Astoria, NY 11105
(718) 274-4900
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1942562202
315 CHURCH ST FL 2
New York, NY 10013
(212) 334-3774
✔ PECOS✔ Accepts Medicare21 mi
Dermatology
NPI 1558381681
455 ROUTE 70 W
Cherry Hill, NJ 08002
(856) 520-8331
✔ PECOS✔ Accepts Medicare96 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2165706

Stacey F Brisman MD PC Dba Walk-In Dermatology · Greenvale, NY
Active · expires May 2, 2027
CLIA Number33D2165706
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorDr. Stacey F. Brisman
Laboratory Phone(516) 621-1982
Laboratory LocationStacey F Brisman MD PC Dba Walk-In Dermatology50 Glen Cove Road, Greenvale, NY 11548
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Stacey F Brisman MD PC's NPI number?

The NPI number for Stacey F Brisman MD PC is 1336618941. It was assigned to this organization in the NPPES registry on November 13, 2018. The provider is doing business as Walk- In Dermatology and Walk-In Dermatology.

Where is Stacey F Brisman MD PC located?

Stacey F Brisman MD PC is located at 50 Glen Cove Rd, Greenvale, NY 11548. The listed phone number is (516) 621-1982.

What is Stacey F Brisman MD PC's specialty?

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

Is Stacey F Brisman MD PC enrolled in Medicare?

Yes. Stacey F Brisman MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stacey F Brisman MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Stacey F Brisman MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (6), Micrographic Dermatologic Surgery (MDS) (1) and Plastic and Reconstructive Surgery (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stacey F Brisman MD PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2165706) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stacey F Brisman MD PC was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.