Organization Active NPI

Minkowitz Pathology

  • Diagnostic Ultrasound Physician
  • Brooklyn, NY
National Provider Identifier
1104810308
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
176318 Issued in NY
Legal business name
MINKOWITZ PATHOLOGY
Practice address
904 49TH St
Brooklyn, NY 11219-2922
Phone
(718) 853-6433
Fax
(718) 853-6449
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Gerald Minkowitz, M.D.NPI 1396747861
Title
Owner
Phone
(718) 853-6433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0500X 176318 NY
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X 176318 NY
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X 176318 NY Primary
Clinical Medical Laboratory 291U00000X 176318 NY

Addresses

Primary practice location

904 49TH St
Brooklyn, NY 11219-2922

Mailing address

2810 Avenue K
Brooklyn, NY 11210-3746
Phone (718) 853-6433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000649 NY Part B Supplier - Clinic/Group Practice 2062448053 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; New York, NY; Staten Island, NY

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
33D0890049Minkowitz Pathology PC904 49TH Street, Brooklyn, NY 11219ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

65 E Northfield Rd
Ste E
Livingston, NJ 07039
Phone (973) 422-9400

4290 Broadway
Fl 2
New York, NY 10033
Phone (212) 781-5075

78 Todt Hill Rd
Ste 201
Staten Island, NY 10314
Phone (718) 249-7640

Practitioners & affiliated clinicians

Practitioners 3

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": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104810308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103746",
            "telephone_number": "718-853-6433",
            "fax_number": "718-853-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192922",
            "telephone_number": "718-853-6433",
            "fax_number": "718-853-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINKOWITZ PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MINKOWITZ",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-853-6433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "NY",
            "license": "176318",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "176318",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "176318",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "176318",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.