MMC DIVISION OF BREAST SURGERY
NPI 1609980846
Surgery in Brooklyn, NY

Active since August 17, 2006
745 64TH ST STE 1, BROOKLYN, NY 11220(718) 765-2570(718) 765-2569 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mmc Division Of Breast Surgery NPPES

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

MMC DIVISION OF BREAST SURGERY (NPI 1609980846) is a healthcare organization registered as a surgery in Brooklyn, New York and active in the NPI registry since August 2006. The organization lists Charusheela Andaz, Department Head, as its authorized official.

NPPES Registry Identity

NPI1609980846
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMMC DIVISION OF BREAST SURGERY
Location Address745 64TH ST STE 1Brooklyn, NY 11220-4753
Mailing Address6300 8th AveBrooklyn, NY 11220-4718
Fax(718) 765-2569
Organization SubpartNo
Authorized OfficialCharusheela AndazDepartment Head · (718) 283-8773
Enumeration DateAugust 17, 2006
Last NPPES UpdateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1609980846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
745 64TH ST STE 1, Brooklyn, NY 11220

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mmc Division Of Breast Surgery 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 Mmc Division Of Breast Surgery, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Surgical Oncology
NPI 1700860301
745 64TH ST STE 1
Brooklyn, NY 11220
(718) 765-2570
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1295154151
745 64TH ST
Brooklyn, NY 11220
(718) 765-2570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649386186
745 64TH ST
Brooklyn, NY 11220
(718) 765-2576
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215197272
745 64TH ST
Brooklyn, NY 11220
(917) 974-0479
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1437163235
6300 8TH AVE FL 2
Brooklyn, NY 11220
(718) 765-2550
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1760192777
1065 SOUTHERN BLVD
Bronx, NY 10459
(718) 589-2440
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1922502020
100 MADISON AVE
Morristown, NJ 07960
(973) 971-5000
✔ PECOS✔ Accepts Medicare26 mi
General Surgery
NPI 1942209580
32 STRAWBERRY HILL CT SUITE #8
Stamford, CT 06902
(203) 276-4255
✔ PECOS✔ Accepts Medicare39 mi

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

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 Mmc Division Of Breast Surgery's NPI number?

The NPI number for Mmc Division Of Breast Surgery is 1609980846. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Mmc Division Of Breast Surgery located?

Mmc Division Of Breast Surgery is located at 745 64th St Ste 1, Brooklyn, NY 11220. The listed phone number is (718) 765-2570.

What is Mmc Division Of Breast Surgery's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mmc Division Of Breast Surgery enrolled in Medicare?

Yes. Mmc Division Of Breast Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mmc Division Of Breast Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mmc Division Of Breast Surgery. 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 General Surgery (4), Nurse Practitioner (3) and Surgical Oncology (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mmc Division Of Breast Surgery was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.