Organization Active NPI

Interborough Developmental and Consultation Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1912867433
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER, INC.
Practice address
445 Kings Hwy Ste 2
Brooklyn, NY 11223-1780
Phone
(718) 645-0300
Fax
(718) 375-5920
NPI assigned
Nov 17, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stephen Gersten
Title
President
Phone
(646) 491-3711

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 262

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

View all 262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001602 NY Part B Supplier - Clinic/Group Practice 7911898192 Receives reassigned benefits from 293 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY; Ridgewood, NY

National Provider Directory

National Provider Directory
Tax ID family
Interborough Developemental7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations (25 of 38)

832 Marcy Ave
Rm 104A
Brooklyn, NY 11216

5800 Tilden Ave
Rm 102A
Brooklyn, NY 11203

35 Starr St
Rm 201A
Brooklyn, NY 11221

2021 Bergen St
Rm 117
Brooklyn, NY 11233

1065 Elton St
Rm 130A
Brooklyn, NY 11239

10124 Seaview Ave
Rm 242
Brooklyn, NY 11236

46 McKeever Pl
Rm 324A
Brooklyn, NY 11225

231 Palmetto St
Rm 110A
Brooklyn, NY 11221

225 Adelphi St
Rm 2101D
Brooklyn, NY 11205

700 Park Ave
Rm 104
Brooklyn, NY 11206

790 Broadway
Brooklyn, NY 11206
Phone (718) 388-5175

330 Jay St
Rm 151B
Brooklyn, NY 11201

223 Graham Ave
Rm 350
Brooklyn, NY 11206

114 Kosciuszko St
Brooklyn, NY 11216

325 Bushwick Ave
Rm 446
Brooklyn, NY 11206

1117 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 684-7774

251 Macdougal St
Rm 207
Brooklyn, NY 11233

51 Christopher Ave
Rm 135
Brooklyn, NY 11212

400 Irving Ave
Rm 112
Brooklyn, NY 11237

5909 Beverley Rd
Rm 106
Brooklyn, NY 11203

400 Ashford St
Rm B10
Brooklyn, NY 11207

5800 20th Ave
Rm 237
Brooklyn, NY 11204

883 Classon Ave
Ste 144
Brooklyn, NY 11225

800 Gates Ave
Fl 3
Brooklyn, NY 11221

1224 Park Pl
Rm 254
Brooklyn, NY 11213

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

445 Kings Hwy Ste 2
Brooklyn, NY 11223-1780

Mailing address

445 Kings Hwy Ste 2
Brooklyn, NY 11223-1780
Phone (718) 645-0300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7001301ROtherNYLICENSE

Other names 1

NPPES NPI Registry
  • IDCC Health Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2026.

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1912867433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 KINGS HWY STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231780",
            "telephone_number": "718-645-0300",
            "fax_number": "718-375-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 KINGS HWY STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231780",
            "telephone_number": "718-645-0300",
            "fax_number": "718-375-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "GERSTEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-491-3711"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7001301R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDCC Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2026; 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.