Active NPI
Impact Specialty Solutions Ga PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1477409795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IMPACT SPECIALTY SOLUTIONS GA PC
- Practice address
- 250 Skillman St Ste 202
Brooklyn, NY 11205-1218 - Phone
- (212) 734-6621
- NPI assigned
- Mar 9, 2026
- Last updated
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eli Wercberger
- Title
- Officer
- Phone
- (212) 734-6621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
250 Skillman St Ste 202
Brooklyn, NY 11205-1218
Mailing address
250 Skillman St Ste 202
Brooklyn, NY 11205-1218
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Bayonne, NJ
- NPI 1023679974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1477409795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218",
"telephone_number": "212-734-6621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT SPECIALTY SOLUTIONS GA PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "WERCBERGER",
"authorized_official_first_name": "ELI",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Impact Care Physicians Ny PC
- Impact Care Physicians PC
- Impact Care Physicians TX PLLC
- Impact Licensed Behavior Analysis PLLC (Impact)
- Impact Medical Services Ny PC
- Impact Specialty Solutions NJ PC
- Impact Specialty Solutions TX PLLC
- Alicia Impastato
- Pascal James Imperato, M.D.
- Mary Grace Mendoza Imperial, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.