MODERN GASTROENTEROLOGY PC (NPI# 1578965638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578965638 |
| Entity Type | Organization |
| Organization Name | MODERN GASTROENTEROLOGY PC |
| Practice Address |
2705 Mermaid Ave Brooklyn NY 11224-2005 |
| Mailing Address |
947 79th St Ste 1 Brooklyn NY 11228-2613 |
| Practice Telephone | 7182652222 |
| Practice Fax Number | 7183331023 |
| Mailing Telephone | 3474466839 |
| Mailing Fax Number | 7183331023 |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |
| Authorized Official Name | KONSTANTIN VAIZMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3474466839 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
2705 MERMAID AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11224-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649238668 | Ilias M Almakaev Sr. | Internal Medicine | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2006-05-01 |
| 1184225617 | Tatyana Kirichenko | Dietitian, Registered | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2020-11-02 |
| 1093204976 | Elena Stefanovich | Occupational Therapist | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2018-05-06 |
| 1679087035 | Galina Bukhgalter | Nurse Practitioner | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2017-11-21 |
| 1982978409 | An Medical Ny Pllc | Internal Medicine | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2012-03-01 |
| 1902012628 | Margarita Rita Josipovich | Dietitian, Registered | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2007-05-16 |
| 1639246150 | South Brooklyn Medical Care, PC | Internal Medicine | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2006-11-29 |
| 1073529731 | Oleg Latvinsky | Podiatrist | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2006-08-01 |
| 1720016793 | Michael Tavdy | Internal Medicine | 2705 Mermaid Ave, Brooklyn, NY 11224-2005 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893121 | A Song of Ascents LLC. | Clinic/Center | 2526 Neptune Ave, Brooklyn, NY 11224 | 2019-01-01 |
| 1851805659 | Kare for Kids Inc. | Early Intervention Provider Agency | 445 Neptune Avenue, 17a, Brooklyn, NY 11224 | 2017-12-01 |
| 1972014884 | Ingrid Blumberg | Speech-Language Pathologist | 2929 West 30th Street, Brooklyn, NY 11224 | 2017-10-18 |
| 1598283723 | Natalie Misyuk | Registered Nurse | 2820 West 8th Street Apt 11-h, Brooklyn, NY 11224 | 2017-09-08 |
| 1811412356 | Lisa S Rudnitsky | Day Training, Developmentally Disabled Services | 445 Neptune Avenue, 12d, Brooklyn, NY 11224 | 2017-08-05 |
| 1568910339 | Lara Adedayo | Licensed Practical Nurse | 3022 W 22nd Street Apt2g, Brooklyn, NY 11224 | 2016-09-21 |
| 1033665336 | Galina Moiseyeva | Pharmacist | 2946 W23rd Ap6-n, Brooklyn, NY 11224 | 2016-08-28 |
| 1538615083 | Oceanview Adult Day Care | Clinic/Center | 2910 West 32nd Streer, 1st Floor, Brooklyn, NY 11224 | 2016-08-25 |
| 1235537143 | Nola Roxanne Moore | Licensed Practical Nurse | 2867 West 37th Street, Brooklyn, NY 11224 | 2014-12-09 |
| 1447651989 | Renata Vaysman | Psychologist | 2925 W 19th St, Brooklyn, NY 11224 | 2014-09-15 |
| Find all providers in zip 11224 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1861977142 | Birch Medical Pllc | Internal Medicine | 60 Oceana Dr W Apt 10d, Brooklyn, NY 11235-6664 | 2018-10-02 |
| 1508347873 | Moshenyat LLC | Internal Medicine | 1958 Ocean Ave Fl 2, Brooklyn, NY 11230-6719 | 2018-08-24 |
| 1083194351 | Manhattan Integrative Gastroenterology | Internal Medicine | 550 Vanderbilt Ave Apt 803, Brooklyn, NY 11238 | 2018-08-16 |
| 1871017905 | Seabreeze Endoscopy Inc | Internal Medicine | 40 W Brighton Ave Ste 104, Brooklyn, NY 11224-4901 | 2017-07-31 |
| 1346609062 | Leslie A. Honikman, M.d., P.C. | Internal Medicine | 2281 Ocean Parkway, Brooklyn, NY 11223-0189 | 2016-02-23 |
| 1669844460 | Guthealth Medical P C | Internal Medicine | 297 Adelphi St, Brooklyn, NY 11205-4602 | 2015-10-20 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.