Organization Active NPI

Brooklyn Gastroenterology and Endoscopy PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1861662991
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BROOKLYN GASTROENTEROLOGY AND ENDOSCOPY PLLC
Practice address
2211 Emmons Ave
Brooklyn, NY 11235-2792
Phone
(718) 368-2960
Fax
(718) 368-2249
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Scott Tenner, MDNPI 1750398566
Title
MBR
Phone
(718) 368-2960

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X NY Primary

Addresses

Primary practice location

2211 Emmons Ave
Brooklyn, NY 11235-2792

Mailing address

2211 Emmons Ave
Brooklyn, NY 11235-2792
Phone (718) 368-2960

Other identifiers 1

IdentifierTypeStateIssuer
1Other1

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000667 NY Part B Supplier - Clinic/Group Practice 4880768373 Receives reassigned benefits from 24 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2211 Emmons Ave
Ste A
Brooklyn, NY 11235

7400 18th Ave
Brooklyn, NY 11204
Phone (718) 236-9446

2952 Brighton 3rd St
Ste 205
Brooklyn, NY 11235

446 McDonald Ave
Brooklyn, NY 11218
Phone (718) 840-7142

98 Avenue U
Brooklyn, NY 11223
Phone (718) 372-0500

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1861662991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "718-368-2960",
            "fax_number": "718-368-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "718-368-2960",
            "fax_number": "718-368-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN GASTROENTEROLOGY AND ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "TENNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "718-368-2960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "1",
            "state": null
        }
    ],
    "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 4, 2008; 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.