Active NPI
Gerald Posner, MD
- Gastroenterology Physician
- Brooklyn, NY
National Provider Identifier
1639273360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 104007
- Practice address
- 1545 Atlantic Ave
Brooklyn, NY 11213-1122 - Phone
- (718) 613-4063
- Fax
- (718) 613-4893
- NPI assigned
- Sep 12, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 104007 | NY | Primary |
Addresses
Primary practice location
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Mailing address
6836 108TH St Apt A20
Forest Hills, NY 11375-3348
Phone (718) 613-4063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00180718 | Medicaid | NY |
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 |
|---|---|---|---|
| 104007 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639273360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 108TH ST APT A20",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753348",
"telephone_number": "718-613-4063",
"fax_number": "718-613-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131122",
"telephone_number": "718-613-4063",
"fax_number": "718-613-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSNER",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "104007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00180718",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.