Avraham J. Gottesman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

242626 Issued in NY

Practice address

864 Eastern Pkwy
Brooklyn, NY 11213-3502

Phone

(718) 735-6002

Fax

(718) 735-6004

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

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

Interoperability endpoints

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

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1245363530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 KINGSTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134332",
            "telephone_number": "718-778-7272",
            "fax_number": "718-773-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133502",
            "telephone_number": "718-735-6002",
            "fax_number": "718-735-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "AVRAHAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "242626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03029178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malky Gottehrer
• Rivka Gottehrer, MSED
• Yael Gottehrer
• Gottesman Medical PC
• Alexander Michael Gottesman, CRNA
• Bert Walter Gottesman, M.D.
• Brenda Gottesman
• Dana Gottesman, PHD
• David Gottesman, BSN
• Democleia Gottesman, MD

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.