Active NPI
Jorge Serje, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 179466
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01418304 | Medicaid | NY |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 179466 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Today P.C. | Internal Medicine | Current | Accepting new patients |
| Palmetto Medical Group, LLP | Internal Medicine | Past | 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
- jos9324@direct.nyp.org
- https://fhir4.healow.com/fhir/r4/GEJGAA
- 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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1275625428
-
- General Practice Physician
- Brooklyn, NY
- NPI 1710471800
Internal Medicine
-
- Internal Medicine Physician
- Ridgewood, NY
- NPI 1790079960
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.