Greater Brooklyn Gastroenterology Care PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

196901 Issued in NY

Legal business name

GREATER BROOKLYN GASTROENTEROLOGY CARE PC

Practice address

3621 Glenwood Rd
Brooklyn, NY 11210-1944

Phone

(718) 434-0202

NPI assigned

Nov 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michel Jose Charles, MDNPI 1598711459

Title

President

Phone

(718) 434-0202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michel-Jose Charles, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1598711459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1457652901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SAINT PAULS RD N",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501133",
            "telephone_number": "718-869-1501",
            "fax_number": "718-940-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101944",
            "telephone_number": "718-434-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BROOKLYN GASTROENTEROLOGY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-14",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "MICHEL JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-434-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "196901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.