Organization Active NPI

East Shore Medical PC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1114972957
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EAST SHORE MEDICAL PC
Practice address
1110 Pennsylvania Ave
Suite 14
Brooklyn, NY 11207-9061
Phone
(718) 257-0900
Fax
(718) 257-5622
NPI assigned
May 23, 2006
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
Vladimir Gressel, MD
Title
Medical Director
Phone
(718) 275-0900

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1110 Pennsylvania Ave
Suite 14
Brooklyn, NY 11207-9061

Mailing address

1110 Pennsylvania Ave
Suite 14
Brooklyn, NY 11207-9061
Phone (718) 257-0900

National Provider Directory

National Provider Directory

Locations

1110 Pennsylvania Ave
Ste 14
Brooklyn, NY 11207
Phone (718) 257-0900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114972957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE",
            "address_2": "SUITE 14",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079061",
            "telephone_number": "718-257-0900",
            "fax_number": "718-257-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE",
            "address_2": "SUITE 14",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079061",
            "telephone_number": "718-257-0900",
            "fax_number": "718-257-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRESSEL",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-275-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.