Individual provider Active NPI

Democleia Gottesman, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1902857303
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
181011 Issued in NY
Practice address
415 Ocean View Ave
Brooklyn, NY 11235-6828
Phone
(718) 934-4842
Fax
(781) 616-0165
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 181011 NY Primary

Addresses

Primary practice location

415 Ocean View Ave
Brooklyn, NY 11235-6828

Mailing address

415 Ocean View Ave
Brooklyn, NY 11235-6828
Phone (718) 934-4842

Other identifiers 1

IdentifierTypeStateIssuer
01356463MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425001096 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2365439510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 Ocean View Ave
Brooklyn, NY 11235-6828
Phone (718) 934-4842

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
181011NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical Offices P.C. Gastroenterology CurrentSince Aug 28, 2000 Accepting new patients
Democleia Gottesman MD PC Gastroenterology CurrentSince Sep 1, 2004 Accepting new patients
Union Health Center Past Accepting new patients

Locations

415 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 769-0997

9340 Queens Blvd
Ste 1G
Rego Park, NY 11374
Phone (718) 730-9210

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902857303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "718-934-4842",
            "fax_number": "781-616-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356828",
            "telephone_number": "718-934-4842",
            "fax_number": "781-616-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "DEMOCLEIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "181011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01356463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.