NPIMap

Individual provider Active NPI

Joseph P Kingsbery, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1659718708
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
279867 Issued in NY
Practice address
9920 4TH Ave Ste 205
Brooklyn, NY 11209-8328
Phone
(718) 745-0623
NPI assigned
May 30, 2013
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 279867 NY 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200618002348 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 8325460454 Reassigns benefits to 5 organizations
I20240206001289 SC Practitioner - Gastroenterology 8325460454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

360 9TH St
Brooklyn, NY 11215-4008
Phone (212) 417-0150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy209
Upper gastrointestinal (GI) endoscopy for acid reflux99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Apr 2, 2024 Accepting new patients
Park Slope Gastroenterology PLLC Gastroenterology CurrentSince Jan 1, 2024 Accepting new patients
Self Medical Group CurrentSince Jan 23, 2024 Accepting new patients
Bay Ridge Gastroenterology, PLLC Gastroenterology CurrentSince Aug 30, 2022 Accepting new patients
Park Slope 360 Medical PC CurrentSince Jan 1, 2024 Accepting new patients
Wyckoff Professional Medical Services, PC Gastroenterology CurrentSince Jan 8, 2024 Accepting new patients
Self Medical Group CurrentSince Jan 23, 2024 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group Gastroenterology PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

360 9th St
Brooklyn, NY 11215
Phone (212) 417-0150

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

9920 4th Ave
Ste 205
Brooklyn, NY 11209
Phone (718) 238-4707

300 Community Dr
Manhasset, NY 11030

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

4106 Hylan Blvd
Staten Island, NY 10308
Phone (718) 226-7855

160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-8090

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jkingsbery541721@selfregional.direct-ci.net
  • Direct secure messaging: jok9156@direct.nyp.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1659718708",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBERY",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "279867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.