Active NPI
Maimonides Medical Center - MMC Gastroenterology FPP
- Gastroenterology Physician
- Brooklyn, NY
National Provider Identifier
1932216660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- MAIMONIDES MEDICAL CENTER - MMC GASTROENTEROLOGY FPP
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-8773
- NPI assigned
- Aug 25, 2006
- Last updated
- Feb 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgar Lichstein, MD
- Title
- Department Chair
- Phone
- (718) 283-8773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
Gpo Box 27641
New York, NY 10087-7641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
249 Bridge St
Ste 211
Metuchen, NJ 08840
535 Clinton Ave
Brooklyn, NY 11238
Phone (917) 410-6905
6300 8th Ave
Brooklyn, NY 11220
Phone (718) 765-2600
Practitioners & affiliated clinicians
Practitioners 33
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.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1801812490
-
- Adult Health Nurse Practitioner
- Baldwin, NY
- NPI 1609134717
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1427042613
-
- Gastroenterology Physician
- Manhasset, NY
- NPI 1356705800
-
- Specialist
- Brooklyn, NY
- NPI 1962561050
-
- Transplant Hepatology Physician
- Manhasset, NY
- NPI 1073713772
Gastroenterology
-
- Gastroenterology Physician
- New York, NY
- NPI 1669005690
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1518651397
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1265412191
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1336220755
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1659570323
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1245461524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1932216660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GPO BOX 27641",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-8773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIMONIDES MEDICAL CENTER - MMC GASTROENTEROLOGY FPP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "LICHSTEIN",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "DEPARTMENT CHAIR",
"authorized_official_telephone_number": "718-283-8773",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Maimonides Medical Center - Interventional Neuro Associates FPP
- Maimonides Medical Center - Maimo Criticare FPP
- Maimonides Medical Center - Maimonides Division of Renal Medic
- Maimonides Medical Center - MMC Division of Geriatric Medicine FPP
- Maimonides Medical Center - MMC Emergency Physicians FPP
- Maimonides Medical Center - MMC Neurosurgery FPP
- Maimonides Medical Center - MMC Radiology FPP
- Maimonides Medical Center - Rheumatology FPP
- Maimonides Medical Center -MMC Surgical Oncology Associates FPP
- Maimonides Medical Center Acute Care Surgery FPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.