Brooklyn Anesthesia Group, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

177953 Issued in NY

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

Aug 11, 2009

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Brooklyn Anesthesia Group PC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1669607123
  NPD tax ID

Locations

Practitioners 1

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.

• Evans Crevecoeur, MD

  • Anesthesiology Physician
  • Jamaica, NY
  • NPI 1053351973
  Medicare reassignment NPD

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1851523799",
    "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": "2009-08-11",
        "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": "NY",
            "license": "177953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Acupuncture Wellness P.C.
• Brooklyn Adult Care Center LLC (Brooklyn Adult Care Center)
• Brooklyn Ambulatory Anesthesia PC
• Brooklyn Ambulatory Physicians Associates,PC
• Brooklyn Anesthesia Group PC
• Brooklyn Anesthesia Medical Group, PLLC
• Brooklyn Anti Aging Center Inc.
• Brooklyn Art Incubator, Inc.
• Brooklyn Audiology Associates, PC
• Brooklyn Avenue Medical PLLC

• Anesthesiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Anesthesiology Physician in New York

• 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.
• 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.