Organization Active NPI

Gershkovich Medicine, PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1124221486
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
199898 Issued in NY
Legal business name
GERSHKOVICH MEDICINE, PC
Practice address
805 E 3Rd St
Brooklyn, NY 11218-5701
Phone
(718) 851-2916
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Galina GershkovichNPI 1437243466
Title
Officer
Phone
(718) 234-3558

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 199898 NY Primary

Addresses

Primary practice location

805 E 3Rd St
Brooklyn, NY 11218-5701

Mailing address

805 E 3Rd St
Brooklyn, NY 11218-5701
Phone (718) 851-2916

National Provider Directory

National Provider Directory
Tax ID family
Gershkovich Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

805 E 3rd St
Brooklyn, NY 11218
Phone (718) 851-2916

7901 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 234-3558

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1124221486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185701",
            "telephone_number": "718-851-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185701",
            "telephone_number": "718-851-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERSHKOVICH MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "GERSHKOVICH",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-234-3558"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199898",
            "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 21, 2010; 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.