Individual provider Active NPI

Gary N Abberbock, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1114931789
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
166327 Issued in NY
Practice address
1421 E 2ND Street
Brooklyn, NY 11230-5501
Phone
(718) 645-7337
Fax
(718) 645-7373
NPI assigned
Jul 28, 2006
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 166327 NY Primary

Addresses

Primary practice location

1421 E 2ND Street
Brooklyn, NY 11230-5501

Mailing address

1421 E 2ND St
Brooklyn, NY 11230-5501
Phone (718) 645-7337

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
I20260106000121 NY Practitioner - Pediatric Medicine 7618271750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1698 E 22ND St
Brooklyn, NY 11229-1517

5601 1St Ave
Brooklyn, NY 11220-2517

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166327NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
Pediatric Associates of Brooklyn, LLP Pediatrics PastSince Dec 1, 2025 Accepting new patients

Locations

1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600

1404 48th St
Brooklyn, NY 11219
Phone (718) 942-3888

1421 E 2nd St
Brooklyn, NY 11230
Phone (718) 645-7337

5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110

Networks

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

Interoperability endpoints

  • Direct secure messaging: garyabberbock@mai.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1114931789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305501",
            "telephone_number": "718-645-7337",
            "fax_number": "718-645-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E 2ND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305501",
            "telephone_number": "718-645-7337",
            "fax_number": "718-645-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBERBOCK",
        "first_name": "GARY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "166327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.