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DR. ALBERT JACK BROK PHD
NPI 1699839555
Psychologist - Clinical in New York, NY

Active since December 21, 2006Opted out of Medicare · through Dec 2, 2026
11 RIVERSIDE DR, 8N -E, NEW YORK, NY 10023(212) 580-3086 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Albert Jack Brok Phd NPPES

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

DR. ALBERT JACK BROK PHD (NPI 1699839555) is an individual clinical provider in New York, New York, licensed in New York (4358) and active in the NPI registry since December 2006. He has opted out of Medicare through December 2, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699839555
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALBERT JACK BROKCredential: PHD
Location Address11 RIVERSIDE DR, 8N -ENew York, NY 10023-2504
Mailing Address11 Riverside Dr, 8n -eNew York, NY 10023-2504 · (212) 580-3086
Phone(212) 580-3086
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699839555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 4358
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11 RIVERSIDE DR, New York, NY 10023
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Other Identifiers 1

Medicare ID-Type UnspecifiedV62951NY · Clinical Psychologist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Albert Jack Brok Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 2, 2016 through December 2, 2026.

Opt-Out Effective DateDecember 2, 2016
Opt-Out In Effect ThroughDecember 2, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAL ADIV GINACH L.C.S.W. PSY D
Social Worker (Clinical)
11 RIVERSIDE DR, WEST WING #2
NEW YORK, NY 10023
New York County (212) 496-7599
MRS. JUDITH CAROL PEKOWSKY MSW
Social Worker (Clinical)
11 RIVERSIDE DR, SUITE 3Y
NEW YORK, NY 10023
New York County (212) 877-1753
DR. MARVIN DANIEL NIENALTOW M.D.
Psychiatry & Neurology (Psychiatry)
11 RIVERSIDE DR, 2A-W
NEW YORK, NY 10023
New York County (212) 721-7574
MS. IRENE KOLKER LCSW
Social Worker (Clinical)
11 RIVERSIDE DR, APT 4 ME
NEW YORK, NY 10023
New York County (610) 331-5342
MRS. BARBARA IRENE WILLINGER LCSW BCD
Social Worker (Clinical)
11 RIVERSIDE DR, STE 3YW
NEW YORK, NY 10023
New York County (212) 769-1052
DR. ALFRED WILLIAM KLEINBAUM PH.D.
Psychologist (Clinical)
11 RIVERSIDE DR, SUITE W4
NEW YORK, NY 10023
New York County (917) 734-7143
MS. ESTHER G BALDINGER M.A.
Speech-Language Pathologist
11 RIVERSIDE DR, 1-TE
NEW YORK, NY 10023
New York County (212) 724-1086
JACQUELINE JOANNA MORISCO MS, CCC-SLP
Speech-Language Pathologist
11 RIVERSIDE DR, 9D - EAST
NEW YORK, NY 10023
New York County (212) 579-4221

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 Albert Brok's NPI number?

The NPI number for Albert Brok is 1699839555. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Albert Brok located?

Albert Brok practices at 11 Riverside Dr 8N -E, New York, NY 10023. The listed phone number is (212) 580-3086.

What is Albert Brok's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Albert Brok enrolled in Medicare?

No. Albert Brok has opted out of Medicare through December 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Albert Brok was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.