Organization Active NPI

Gastroenterology Care Inc

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1104125939
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
CON# 071061-B Issued in NY
Legal business name
GASTROENTEROLOGY CARE INC
Practice address
8622 Bay Pkwy
Ste 1
Brooklyn, NY 11214-4168
Phone
(718) 333-9090
Fax
(718) 333-2727
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Alexander Brodsky, MD
Title
Owner
Phone
(719) 333-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CON# 071061-B NY Primary

Addresses

Primary practice location

8622 Bay Pkwy
Ste 1
Brooklyn, NY 11214-4168

Mailing address

8622 Bay Pkwy
Ste 1
Brooklyn, NY 11214-4168
Phone (718) 333-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000027 NY Part B Supplier - Ambulatory Surgical Center 0648440933 Practice locations: Brooklyn, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gastroenterology Care IncCCN 33C0001115
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1085051Gastroenterology Care Inc8622 Bay Pkwy - Suite 1a, Brooklyn, NY 11214Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1104125939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 BAY PKWY",
            "address_2": "STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144168",
            "telephone_number": "718-333-9090",
            "fax_number": "718-333-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 BAY PKWY",
            "address_2": "STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144168",
            "telephone_number": "718-333-9090",
            "fax_number": "718-333-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-333-9090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "CON# 071061-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.