Organization Active NPI

Inna Gordin Medical P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1962635458
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
199895 Issued in NY
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

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Inna Gordin, M.D.NPI 1093866386
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20091027000799 NY Part B Supplier - Clinic/Group Practice 9830236611 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.