Organization Active NPI

East River Neurology, PC

  • Medical Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1679884902
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
228298 Issued in NY
Legal business name
EAST RIVER NEUROLOGY, PC
Practice address
445 77TH St
Brooklyn, NY 11209-3205
Phone
(718) 680-4300
Fax
(718) 921-5417
NPI assigned
Jul 1, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Katarzyna Jakubowska-Sadowska, M.D,NPI 1578656641
Title
Owner/President
Phone
(718) 680-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 228298 NY Primary

Addresses

Primary practice location

445 77TH St
Brooklyn, NY 11209-3205

Mailing address

445 77TH St
Brooklyn, NY 11209-3205
Phone (718) 680-4300

Other identifiers 3

IdentifierTypeStateIssuer
1578656641OtherNYNPI # FOR KATARZYNA JAKUBOWSKA-SADOWSKA, MD SOLE PROPRIETOR, 1578656641
228298OtherNYNY LICENSE
02543135MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100802000752 NY Part B Supplier - Clinic/Group Practice 1850424565 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

6051 69th Ave
Ridgewood, NY 11385
Phone (718) 381-3456

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679884902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093205",
            "telephone_number": "718-680-4300",
            "fax_number": "718-921-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093205",
            "telephone_number": "718-680-4300",
            "fax_number": "718-921-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIVER NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JAKUBOWSKA-SADOWSKA",
        "authorized_official_first_name": "KATARZYNA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-680-4300",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "228298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # FOR KATARZYNA JAKUBOWSKA-SADOWSKA, MD SOLE PROPRIETOR, 1578656641",
            "identifier": "1578656641",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "228298",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02543135",
            "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.