Active NPI
Benedict Gaisie, MD
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
National Provider Identifier
1538884234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- P117920
- Practice address
- 2237 Linden Blvd
Brooklyn, NY 11207-7527 - Phone
- (718) 649-7000
- NPI assigned
- Oct 5, 2022
- Last updated
- Oct 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | P117920 | NY | Primary |
Addresses
Primary practice location
2237 Linden Blvd
Brooklyn, NY 11207-7527
Mailing address
11853 Blackeyed Susan Dr
Riverview, FL 33579-1106
Phone (347) 792-6593
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | POINTCLICKCARE.COM | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P117920 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1538884234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11853 BLACKEYED SUSAN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335791106",
"telephone_number": "347-792-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2237 LINDEN BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112077527",
"telephone_number": "718-649-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAISIE",
"first_name": "BENEDICT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "P117920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "POINTCLICKCARE.COM",
"affiliation": "N",
"endpointDescription": "PATIENT INFORMATION CAN BE ACCESSED FROM EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2237 Linden Blvd",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112077527",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.