Organization Active NPI

NG Medical Brooklyn PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1194287235
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NG MEDICAL BROOKLYN PLLC
Practice address
943 60TH St # C1
Brooklyn, NY 11219-4871
Phone
(212) 431-4309
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Anthony J NGNPI 1649202367
Title
MD
Phone
(212) 431-4309

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

943 60TH St # C1
Brooklyn, NY 11219-4871

Mailing address

943 60TH St # C1
Brooklyn, NY 11219-4871
Phone (212) 431-4309

Other identifiers 2

IdentifierTypeStateIssuer
211385OtherNYLICENSE
1649202367OtherINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.gastroenterologistnewyorkcity.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190812001091 NY Part B Supplier - Clinic/Group Practice 2264769470 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, 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
33D2168760NG Medical Brooklyn PLLC943 60TH Street - C1, Brooklyn, NY 11219Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1194287235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 60TH ST # C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194871",
            "telephone_number": "212-431-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 60TH ST # C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194871",
            "telephone_number": "212-431-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NG MEDICAL BROOKLYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-431-4309"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "211385",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649202367",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.gastroenterologistnewyorkcity.com/",
            "affiliation": "N",
            "address_1": "943 60th St # C1",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112194871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 17, 2022; 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.