Organization Active NPI

Brooklyn Anesthesia Group PC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1669607123
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BROOKLYN ANESTHESIA GROUP PC
Practice address
765 Nostrand Ave FL 3
Brooklyn, NY 11216-4203
Phone
(718) 433-0044
Fax
(718) 255-6555
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Gina Duval
Title
Administrator
Phone
(718) 433-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

765 Nostrand Ave FL 3
Brooklyn, NY 11216-4203

Mailing address

565 Conway Rd
Elmont, NY 11003-3519
Phone (718) 433-0044

National Provider Directory

National Provider Directory
Tax ID family
Brooklyn Anesthesia Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

765 Nostrand Ave
Fl 3
Brooklyn, NY 11216
Phone (718) 498-7888

23428 Merrick Blvd
#2
Rosedale, NY 11422

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1669607123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CONWAY RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033519",
            "telephone_number": "718-433-0044",
            "fax_number": "718-255-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NOSTRAND AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164203",
            "telephone_number": "718-433-0044",
            "fax_number": "718-255-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN ANESTHESIA GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-433-0044"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.