Active NPI
Bay Ridge Gastroenterology, PLLC
- Gastroenterology Physician
- Brooklyn, NY
National Provider Identifier
1538816624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- BAY RIDGE GASTROENTEROLOGY, PLLC
- Practice address
- 9920 4TH Ave Ste 205
Brooklyn, NY 11209-8328 - Phone
- (718) 745-0623
- Fax
- (718) 745-8091
- NPI assigned
- Mar 8, 2022
- 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
- Anila Hoxha
- Title
- Practice Manager
- Phone
- (718) 745-0623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
9920 4TH Ave Ste 205
Brooklyn, NY 11209-8328
Mailing address
9920 4TH Ave Ste 205
Brooklyn, NY 11209-8328
Phone (718) 745-0623
Other names 1
- Bay Ridge Gastroenterology, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0145077 | Bay Ridge Gastroenterology PLLC | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
9920 4th Ave
Ste 205
Brooklyn, NY 11209
Phone (718) 238-4707
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1245313709
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1053775023
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1659718708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646784000000",
"number": "1538816624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 4TH AVE STE 205",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098328",
"telephone_number": "718-745-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 4TH AVE STE 205",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112098328",
"telephone_number": "718-745-0623",
"fax_number": "718-745-8091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY RIDGE GASTROENTEROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "HOXHA",
"authorized_official_first_name": "ANILA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "718-745-0623"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bay Ridge Gastroenterology, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Brooklyn, NY
- Bay Ridge Eye & Retina Specialist
- Bay Ridge Family Health NP, PLLC
- Bay Ridge Family Medical Doctor P.C
- Bay Ridge Fourth Avenue Medical Associates, P. C.
- Bay Ridge Gastroenterology, PLLC
- Bay Ridge Hearts Cardiovascular Care, PC
- Bay Ridge Manual Physical Therapy PC
- Bay Ridge Med Arts Corp
- Bay Ridge Medical Care PLLC
- Bay Ridge Medical Consultants PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.