Organization Active NPI

Interborough Developmental and Consultation Center, Inc.

Doing business as IDCC Health Services

  • 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.
Doing business as
IDCC Health Services
Practice address
445 Kings Hwy Ste 2
Brooklyn, NY 11223-1780
Phone
(718) 645-0300
Fax
(718) 375-5920
NPI assigned
Nov 17, 2025
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Stephen GerstenNPI 1265451785
Title
President
Phone
(646) 491-3711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

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

IdentifierTypeStateIssuer
7001301ROtherNYLICENSE

Other names 1

  • IDCC Health Services Doing business as

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Interborough Development C7 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 40)

101 Walton St
Rm 130B
Brooklyn, NY 11206

10124 Seaview Ave
Rm 242
Brooklyn, NY 11236

1025 Eastern Pkwy
Rm 212A
Brooklyn, NY 11213

1065 Elton St
Rm 130A
Brooklyn, NY 11239

1117 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 484-1042

114 Kosciuszko St
Brooklyn, NY 11216

1224 Park Pl
Rm 254
Brooklyn, NY 11213

133 E 53rd St
Rm 102
Brooklyn, NY 11203

1600 Rockaway Pkwy
Rm 151
Brooklyn, NY 11236

201 Kings Hwy
Brooklyn, NY 11223
Phone (929) 446-4500

2021 Bergen St
Rm 117
Brooklyn, NY 11233

223 Graham Ave
Rm 350
Brooklyn, NY 11206

225 Adelphi St
Rm 2101D
Brooklyn, NY 11205

231 Palmetto St
Rm 110A
Brooklyn, NY 11221

237 7th Ave
Rm 132
Brooklyn, NY 11215

251 Macdougal St
Rm 207
Brooklyn, NY 11233

265 Warwick St
Rm 224C
Brooklyn, NY 11207

2944 Pitkin Ave
Rm 561
Brooklyn, NY 11208

325 Bushwick Ave
Rm 446
Brooklyn, NY 11206

330 Alabama Ave
Rm 118
Brooklyn, NY 11207

330 Jay St
Rm 151B
Brooklyn, NY 11201

35 Starr St
Rm 201A
Brooklyn, NY 11221

400 Ashford St
Rm B10
Brooklyn, NY 11207

400 Irving Ave
Rm 112
Brooklyn, NY 11237

430 Howard Ave
Rm 215B
Brooklyn, NY 11233

Practitioners & affiliated clinicians

Practitioners 289

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.

View all 289

NPI Registry JSON

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

{
    "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": "",
            "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.