Gary R Carpenter Jr., M.D.
Individual provider Active NPI Internal Medicine Physician · Brooklyn, NY
NPI 1649533738 · NPPES record last updated Jan 30, 2019
Key facts
- NPI
- 1649533738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 276449 (NY)
- Practice address
- 55 Greene Ave
LLB
Brooklyn, NY 11238-6406 - Phone
- (718) 789-5900
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York at Buffalo School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Care Medical Practice PLLC
Practice addresses (Care Compare)
322 Linden Blvd
Brooklyn, NY 11226-3579
Phone (347) 732-5458
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141008001752 | NY | Practitioner - Internal Medicine | 2668692922 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current |
Accepting new patients | |
| Care Medical Practice PLLC | Internal Medicine | Current |
Accepting new patients |
| Urban Family Practice PC | Internal Medicine | Current |
Accepting new patients |
| Weill Medical College of Cornell | Internal Medicine | Current |
Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| Weill Medical College of Cornell | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663
535 Clinton Ave
Bsmt
Brooklyn, NY 11238
Phone (646) 962-9087
55 Greene Ave
Brooklyn, NY 11238
Phone (718) 789-5900
55 Greene Ave
Ste Llb
Brooklyn, NY 11238
Phone (718) 789-5900
322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788
564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026
1315 Jefferson Ave
Buffalo, NY 14208
Phone (716) 332-3797
1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- gary.carpenter@caremedicalpractice.medentdirect.com
- garycarpenter@mai.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 276449 | NY | Yes |
Addresses
Primary practice location
55 Greene Ave
LLB
Brooklyn, NY 11238-6406
Mailing address
535 Clinton Ave BSMT
Brooklyn, NY 11238-2201
Phone (718) 789-5900
Other providers in Brooklyn, NY
- Carousel Care Applied Behavioral Analysis PLLC
- Joseph Carpenito
- Mignon Lyn Carpenter Lee
- Christina Carpenter
- Corinne Elizabeth Carpenter
- Geremy Renard Carpenter
- Kirsten Carpenter
- Kristen M Carpenter
- Maria Carpenzano
- Marissa Renee Carpinteyro
All providers in Brooklyn, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.