NPIMap

Organization Active NPI

Palmadessa & Brodsky Gastroenterology Associates P.C.

  • Specialist
  • Douglaston, NY
National Provider Identifier
1881610426
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PALMADESSA & BRODSKY GASTROENTEROLOGY ASSOCIATES P.C.
Practice address
241-02 Northern Blvd
1St Floor
Douglaston, NY 11362-1060
Phone
(718) 461-0163
Fax
(718) 358-5570
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Donald J Palmadessa, M.D.
Title
President
Phone
(718) 461-0163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

241-02 Northern Blvd
1St Floor
Douglaston, NY 11362-1060

Mailing address

241-02 Northern Blvd
1St Floor
Douglaston, NY 11362-1060
Phone (718) 461-0163

Other identifiers 2

IdentifierTypeStateIssuer
02584578MedicaidNY
00847576MedicaidNY

National Provider Directory

National Provider Directory

Locations

24102 Northern Blvd
Ste 1
Douglaston, NY 11362
Phone (718) 461-0163

Practitioners & affiliated clinicians

Practitioners 3

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1881610426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241-02 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621060",
            "telephone_number": "718-461-0163",
            "fax_number": "718-358-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241-02 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621060",
            "telephone_number": "718-461-0163",
            "fax_number": "718-358-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMADESSA & BRODSKY GASTROENTEROLOGY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "PALMADESSA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-461-0163",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02584578",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00847576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.