Individual provider Active NPI

Jorge Serje, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1285681643
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
179466 Issued in NY
Practice address
362 9TH St
Brooklyn, NY 11215-4008
Phone
(718) 499-6099
Fax
(718) 499-6391
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 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 179466 NY Primary

Addresses

Primary practice location

362 9TH St
Brooklyn, NY 11215-4008

Mailing address

362 9TH St
Brooklyn, NY 11215-4008
Phone (718) 499-6099

Other identifiers 1

IdentifierTypeStateIssuer
01418304MedicaidNY

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
I20100204000006 NY Practitioner - Internal Medicine 9335047091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ny Total Medical Care, P.C.Group PAC ID 9638077399, 9 clinicians

Practice addresses (Care Compare)

362 9TH St
Brooklyn, NY 11215-4008
Phone (718) 499-6099

362 9TH St
Brooklyn, NY 11215-4673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
88.97
Improvement activities
40
Cost
94.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179466NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Today P.C. Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Palmetto Medical Group, LLP Internal Medicine PastSince Jul 1, 2011 Accepting new patients

Locations

474 Ovington Ave
Ste Ll
Brooklyn, NY 11209
Phone (718) 238-2625

527 Coney Island Ave
Frnt 1
Brooklyn, NY 11218
Phone (718) 306-5025

350 Jericho Tpke
Ste 312
Jericho, NY 11753
Phone (646) 673-5067

Networks

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

Interoperability endpoints

  • Direct secure messaging: jos9324@direct.nyp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA/Endpoint/GEJGAA

Organizations & group practices 3

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 5

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1285681643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-499-6099",
            "fax_number": "718-499-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "718-499-6099",
            "fax_number": "718-499-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERJE",
        "first_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01418304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.