MAIMONIDES MEDICAL CENTER - MMC GASTROENTEROLOGY FPP NPI 1932216660

NPI Information

  • NPI: 1932216660
  • Provider Name: MAIMONIDES MEDICAL CENTER - MMC GASTROENTEROLOGY FPP
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 4802 10TH AVE
    BROOKLYN, NY
    ZIP 11219
  • Phone: (718) 283-8773

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NPI Details

MAIMONIDES MEDICAL CENTER - MMC GASTROENTEROLOGY FPP is a gastroenterology internal medicine in Brooklyn, NY. The provider is 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. MAIMONIDES MEDICAL CENTER - MMC GASTROENTEROLOGY FPP NPI is 1932216660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4802 10TH AVE
BROOKLYN, NY
ZIP 11219-916
Phone: (718) 283-8773

The provider's authorized official is Edgar Lichstein .
The authorized official title is Department Chair and has the following contact phone number (718) 283-8773.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 2/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W33711MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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