Active NPI
Gastroenterology Care Inc
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
National Provider Identifier
1104125939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- CON# 071061-B
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1085051 | Gastroenterology Care Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1457514044
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1164605903
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
- Clara Gasso Soler, LMSW
- Benjamin Gastevich
- Dulterre Marie Gaston
- Gastroenterology Associates of Bayridge PLLC
- Gastroenterology Associates of Brooklyn PLLC
- Gastroenterology Consultants of North Jersey PC
- Gastrointestinal and Liver Disease Specialists, LLP
- Gastrointestinal Medicine of Ny PC
- Michael R Gataullin
- Aislinn Gatchell
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.