Individual provider Active NPI

Gary Shawn Becker, D.O.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1164439964
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
232785 Issued in NY
Practice address
2035 Ralph Ave
B2
Brooklyn, NY 11234-5300
Phone
(718) 968-9200
Fax
(718) 444-5054
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232785 NY Primary

Addresses

Primary practice location

2035 Ralph Ave
B2
Brooklyn, NY 11234-5300

Mailing address

6 Royal CT
Manalapan, NJ 07726-3205
Phone (732) 972-2272

Other identifiers 1

IdentifierTypeStateIssuer
280ACOtherNYBLUE CROSS

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
I20050316000353 NY Practitioner - Internal Medicine 0547215295 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Marvin S Becker MD PCGroup PAC ID 3072955467, 6 clinicians

Practice addresses (Care Compare)

2035 Ralph Ave
Suite C
Brooklyn, NY 11234-5300
Phone (718) 968-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232785NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin S Becker, M.D. P.C. Internal Medicine CurrentSince Jul 8, 2008 Accepting new patients

Locations

2035 Ralph Ave
#B2
Brooklyn, NY 11234
Phone (718) 968-9200

2035 Ralph Ave
Ste C
Brooklyn, NY 11234
Phone (718) 968-2059

2035 Ralph Ave
Ste B2
Brooklyn, NY 11234
Phone (718) 934-9720

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAJDD/Endpoint/CFAJDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164439964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROYAL CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263205",
            "telephone_number": "732-972-2272",
            "fax_number": "732-972-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "B2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-968-9200",
            "fax_number": "718-444-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "GARY",
        "middle_name": "SHAWN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "280AC",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.