Active NPI
Gregory Trakhtenberg, M.S., P.T.
- Specialist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 020674
- Practice address
- 3003 Ocean Pkwy
Ground Floor
Brooklyn, NY 11235-8388 - Phone
- (718) 714-6995
- NPI assigned
- Aug 15, 2006
- Last updated
- Jan 30, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 020674 | NY | Primary |
Addresses
Primary practice location
3003 Ocean Pkwy
Ground Floor
Brooklyn, NY 11235-8388
Mailing address
2546 E 13TH St
Apt F7
Brooklyn, NY 11235-4358
Phone (718) 714-6995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02216439 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2993 Ocean Pkwy
Brooklyn, NY 11235-8302
Phone (718) 714-6995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020674 | NY | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feel Good Physical Therapy, PC | Specialist | Current | Accepting new patients |
| Adaptation Medical, PC | Specialist | Past | Accepting new patients |
| Convalescence Medical PC | Single Specialty | Past | Accepting new patients |
| Midtown East Physical Therapy | Single Specialty | Past | Accepting new patients |
Locations
2993 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 373-0777
2626 E 14th St
Ste 204
Brooklyn, NY 11235
Phone (718) 513-1400
Organizations & group practices 4
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.
-
- Specialist
- Brooklyn, NY
- NPI 1821109752
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1548501562
Single Specialty
-
- Specialist
- Brooklyn, NY
- NPI 1245367416
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1225646664
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1750394003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 E 13TH ST",
"address_2": "APT F7",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354358",
"telephone_number": "718-714-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 OCEAN PKWY",
"address_2": "GROUND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358388",
"telephone_number": "718-714-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAKHTENBERG",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "M.S., P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "020674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02216439",
"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 Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.