Organization Active NPI

Gershkovich Medicine, PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1336233386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GERSHKOVICH MEDICINE, PC
Practice address
7901 Bay Pkwy
Brooklyn, NY 11214-1955
Phone
(718) 234-3558
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Galina GershkovichNPI 1437243466
Title
Officer
Phone
(718) 234-3558

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

7901 Bay Pkwy
Brooklyn, NY 11214-1955

Mailing address

7901 Bay Pkwy
Brooklyn, NY 11214-1955
Phone (718) 234-3558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161031000030 NY Part B Supplier - Clinic/Group Practice 2062790868 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
33D0949955Gershkovich Medicine PC7901 Bay Parkway, Brooklyn, NY 11214ComplianceApr 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gershkovich Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336233386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141955",
            "telephone_number": "718-234-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141955",
            "telephone_number": "718-234-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERSHKOVICH MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERSHKOVICH",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-234-3558"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Aug 22, 2020; 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.