NPIMap

Individual provider Active NPI

Jack Husney, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1073856720
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
285184 Issued in NY
Practice address
2118 Coney Island Ave Ste 2
Brooklyn, NY 11223-2347
Phone
(718) 872-5270
NPI assigned
Apr 1, 2013
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 285184 NY
Gastroenterology Physician 207RG0100X 285184 NY Primary

Addresses

Primary practice location

2118 Coney Island Ave Ste 2
Brooklyn, NY 11223-2347

Mailing address

2228 E 8TH St
Brooklyn, NY 11223-4944

Other practice location 1

2579 Ocean Ave
Brooklyn, NY 11229-4552
Phone (718) 872-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200326003100 NY Practitioner - Internal Medicine 1658619101 Reassigns benefits to 2 organizations
I20200714002380 NY Practitioner - Gastroenterology 1658619101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians
Jack Husney MD PCGroup PAC ID 2668801614, 2 clinicians

Practice addresses (Care Compare)

1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411

2118 Coney Island Ave
Brooklyn, NY 11223-2347
Phone (917) 727-1760

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285184NYMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Primary Health Care Center, LLC Multi-Specialty CurrentSince May 4, 2025 Accepting new patients
Doral Medical and Multi Specialty Facility LLC Multi-Specialty CurrentSince Dec 1, 2021 Accepting new patients
Jack Husney MD P.C. Multi-Specialty CurrentSince Mar 20, 2020 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Aug 14, 2025 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Doral Pharmacy LLC PastSince Dec 1, 2021 Accepting new patients

Locations

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

2118 Coney Island Ave
Ste 2
Brooklyn, NY 11223
Phone (718) 336-6334

2579 Ocean Ave
Brooklyn, NY 11229
Phone (646) 780-0926

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

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

Interoperability endpoints

  • Direct secure messaging: jack.husney@dmmsfl.eclinicaldirectplus.com

Organizations & group practices 6

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1073856720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 E 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 CONEY ISLAND AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232347",
            "telephone_number": "718-872-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2579 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112294552",
            "country_code": "US",
            "telephone_number": "718-872-5270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSNEY",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "285184",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "285184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.