Organization Active NPI

Metropolitan Medical & Surgical P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
National Provider Identifier
1821033960
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
205366 Issued in NY
Legal business name
METROPOLITAN MEDICAL & SURGICAL P.C.
Practice address
2076 E 13TH St
Brooklyn, NY 11229-3304
Phone
(718) 382-7909
Fax
(718) 382-7912
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Mark Gladstein, M.D.NPI 1184674061
Title
President
Phone
(718) 382-7909

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 205366 NY Primary

Addresses

Primary practice location

2076 E 13TH St
Brooklyn, NY 11229-3304

Mailing address

2076 E 13TH St
Brooklyn, NY 11229-3304
Phone (718) 382-7909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000916 NY Part B Supplier - Clinic/Group Practice 6709839418 Receives reassigned benefits from 1 practitioner
Practice locations: Woodhaven, NY

National Provider Directory

National Provider Directory
Tax ID family
Avanguard Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2076 E 13th St
#1
Brooklyn, NY 11229
Phone (718) 382-7900

30 Central Park S
New York, NY 10019
Phone (212) 759-9614

10 Union Sq E
Frnt 3N
New York, NY 10003
Phone (212) 844-8250

9017 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 441-9300

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1821033960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "718-382-7909",
            "fax_number": "718-382-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "718-382-7909",
            "fax_number": "718-382-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN MEDICAL & SURGICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "GLADSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-382-7909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "205366",
            "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 19, 2007; 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.