Organization Active NPI

Clarkson Medical Office

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1760560759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161141 Issued in NY
Legal business name
CLARKSON MEDICAL OFFICE
Practice address
311 Clarkson Ave
Brooklyn, NY 11226-2203
Phone
(718) 941-7918
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gesner Louis Auguste, M.D.
Title
Medical Director
Phone
(718) 941-7918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161141 NY Primary

Addresses

Primary practice location

311 Clarkson Ave
Brooklyn, NY 11226-2203

Mailing address

311 Clarkson Ave
Brooklyn, NY 11226-2203
Phone (718) 941-7918

Other identifiers 1

IdentifierTypeStateIssuer
00881998MedicaidNY

National Provider Directory

National Provider Directory

Locations

311 Clarkson Ave
Brooklyn, NY 11226
Phone (718) 941-7918

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760560759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262203",
            "telephone_number": "718-941-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262203",
            "telephone_number": "718-941-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUGUSTE",
        "authorized_official_first_name": "GESNER",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-941-7918",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00881998",
            "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 Aug 22, 2020; 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.