Organization Active NPI

Jack Husney MD P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1326673559
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JACK HUSNEY MD P.C.
Practice address
2118 Coney Island Ave Ste 2
Brooklyn, NY 11223-2347
Phone
(718) 872-5270
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Jack Husney, MDNPI 1073856720
Title
Doctor
Phone
(718) 872-5270

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2118 Coney Island Ave Ste 2
Brooklyn, NY 11223-2347

Mailing address

2228 E 8TH St
Brooklyn, NY 11223-4944

Other practice location 1

2228 E 8th St
Brooklyn, NY 11223-4944
Phone (718) 872-5270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326002860 NY Part B Supplier - Clinic/Group Practice 2668801614 Receives reassigned benefits from 3 practitioners
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
33D2213539Jack Husney, MD PC2118 Coney Island Avenue, Brooklyn, NY 11223ComplianceMay 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1326673559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 E 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 CONEY ISLAND AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232347",
            "telephone_number": "718-872-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2228 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112234944",
            "country_code": "US",
            "telephone_number": "718-872-5270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACK HUSNEY MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HUSNEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-872-5270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2021; 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.