Active NPI
Inna Gordin Medical P.C.
- Gastroenterology Physician
- Brooklyn, NY
National Provider Identifier
1962635458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 199895
- Legal business name
- INNA GORDIN MEDICAL P.C.
- Practice address
- 1664 E 14TH St Ste 302
Brooklyn, NY 11229-1167 - Phone
- (718) 382-0500
- Fax
- (718) 382-7025
- NPI assigned
- Aug 31, 2009
- 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
- Inna Gordin, M.D.
- Title
- President
- Phone
- (718) 382-0500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 199895 | NY | Primary |
Addresses
Primary practice location
1664 E 14TH St Ste 302
Brooklyn, NY 11229-1167
Mailing address
1664 E 14TH St Ste 302
Brooklyn, NY 11229-1167
Phone (718) 382-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1664 E 14th St
Ste 302
Brooklyn, NY 11229
Phone (718) 382-0500
2647 Coney Island Ave
Fl 1
Brooklyn, NY 11223
Phone (718) 382-0500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGAHAA
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1093866386
-
- Anatomic Pathology Physician
- Manhasset, NY
- NPI 1427100726
-
- Specialist
- Huntington, NY
- NPI 1427132034
-
- Anesthesiology Physician
- Elizabeth, NJ
- NPI 1861463135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251676800000",
"number": "1962635458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 E 14TH ST STE 302",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291167",
"telephone_number": "718-382-0500",
"fax_number": "718-382-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 E 14TH ST STE 302",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291167",
"telephone_number": "718-382-0500",
"fax_number": "718-382-7025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNA GORDIN MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A",
"authorized_official_last_name": "GORDIN",
"authorized_official_first_name": "INNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-382-0500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "199895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 31, 2009; 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.