Organization Active NPI

Park Slope Gastroenterology PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1427829340
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PARK SLOPE GASTROENTEROLOGY PLLC
Practice address
360 9TH St
Brooklyn, NY 11215-4008
Phone
(212) 417-0150
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Joseph KingsberyNPI 1659718708
Title
MD
Phone
(732) 778-9550

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
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

360 9TH St
Brooklyn, NY 11215-4008

Mailing address

116 Sandford St
Brooklyn, NY 11205-2987

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130000369 NY Part B Supplier - Clinic/Group Practice 6507219284 Receives reassigned benefits from 2 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
33D2300402Park Slope Gastroenterology PLLC360 9TH Street, First Floor, Brooklyn, NY 11215ComplianceApr 6, 2028

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1427829340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SANDFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154008",
            "telephone_number": "212-417-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "KINGSBERY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-778-9550"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_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 Jan 10, 2024; 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.