BRUCE PROFSKY PMHNP-BC
NPI 1689497554
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is Bruce Profsky's NPI number?

The NPI number for Bruce Profsky is 1689497554. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Q: What is Bruce Profsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Profsky was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2024PECOS Enrolled

4102 13TH AVE, BROOKLYN, NY 11219(718) 400-9988 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Nov 7, 2024 (2 updates tracked since 2024).

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About Bruce Profsky Pmhnp-bc NPPES

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

BRUCE PROFSKY PMHNP-BC (NPI 1689497554) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (405636) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689497554

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBRUCE PROFSKYCredential: PMHNP-BC

Location Address4102 13TH AVEBrooklyn, NY 11219-1389

Mailing Address3606 Avenue SBrooklyn, NY 11234-4830 · (718) 419-8044

Phone(718) 400-9988

Sole ProprietorYes

Enumeration DateNovember 7, 2024

Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1689497554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 405636

4102 13TH AVE, Brooklyn, NY 11219

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce Profsky Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11219 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

$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.

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