Individual provider Active NPI

Gary Spektor, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1043275092
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
228513 Issued in NY
Practice address
2882 W 15TH St Uppr Level
Brooklyn, NY 11224-2770
Phone
(718) 336-1777
NPI assigned
Apr 20, 2006
Last updated
Sep 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 228513 NY Primary

Addresses

Primary practice location

2882 W 15TH St Uppr Level
Brooklyn, NY 11224-2770

Mailing address

139B Fenimore Rd
Mamaroneck, NY 10543-3502
Phone (917) 701-5514

Other practice location 1

1190 5th Ave
New York, NY 10029-6503
Phone (212) 427-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727001239 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698703049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Stanford University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwood Medical P.C.Group PAC ID 3274424593, 4 clinicians

Practice addresses (Care Compare)

1977 Flatbush Ave
Brooklyn, NY 11234-2811
Phone (718) 758-7070

2222 Coney Island Ave
Brooklyn, NY 11223-3338
Phone (718) 336-6667

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
228513NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Laboratory Services Inc. CurrentSince Mar 1, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Cardiovascular Disease CurrentSince Mar 1, 2021 Accepting new patients
Midwood Medical P.C. CurrentSince May 23, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Cardiovascular Disease CurrentSince Mar 1, 2021 Accepting new patients
Express Medical PC Past Accepting new patients

Locations

1977 Flatbush Ave
Brooklyn, NY 11234
Phone (646) 565-4545

2222 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 336-6667

2882 W 15th St
Ste 1
Brooklyn, NY 11224
Phone (718) 766-5419

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

1190 5th Ave
New York, NY 10029
Phone (212) 241-6756

1468 Madison Ave
#1030
New York, NY 10029
Phone (212) 241-7300

5 E 98th St
Fl 3
New York, NY 10029
Phone (212) 241-5170

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567814400000",
    "number": "1043275092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139B FENIMORE RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433502",
            "telephone_number": "917-701-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 W 15TH ST UPPR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242770",
            "telephone_number": "718-336-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296503",
            "country_code": "US",
            "telephone_number": "212-427-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEKTOR",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "228513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.