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BLUE NILE MEDICAL PLLC
NPI 1003322108
Internal Medicine in Brooklyn, NY

Active since December 27, 2017CLIA 33D1020714 · Waiver
9408 FLATLANDS AVE, BROOKLYN, NY 11236(718) 272-0977(718) 272-1088 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Nile Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE NILE MEDICAL PLLC (NPI 1003322108) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Sebhatu Gebrezgi, Owner, as its authorized official.

NPPES Registry Identity

NPI1003322108
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE NILE MEDICAL PLLC
Location Address9408 FLATLANDS AVEBrooklyn, NY 11236-3742
Mailing Address9408 Flatlands AveBrooklyn, NY 11236-3742 · (718) 272-0977 · Fax (718) 272-1088
Phone(718) 272-0977
Fax(718) 272-1088
Organization SubpartNo
Authorized OfficialSebhatu GebrezgiOwner · (718) 272-0977
Enumeration DateDecember 27, 2017
✔ NPI 1003322108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedLegal MedicineTaxonomy 173000000X
9408 FLATLANDS AVE, Brooklyn, NY 11236
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1020714

Blue Nile Medical PLLC · Brooklyn, NY
Active · expires Sep 29, 2026
CLIA Number33D1020714
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorDr. Sebhatu T. Gebrezgi
Laboratory Phone(718) 272-0977
Laboratory LocationBlue Nile Medical PLLC9408 Flatlands Avenue, Brooklyn, NY 11236
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNINE ANDRE-BURNS NUTRITION SERVICES, INC.
Nutritionist
9408 FLATLANDS AVE
BROOKLYN, NY 11236
Kings County (860) 305-4425
SEBHATU TEWOLDE GEBREZGI MD
Internal Medicine
9408 FLATLANDS AVE
BROOKLYN, NY 11236
Kings County (718) 272-0977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Nile Medical PLLC's NPI number?

The NPI number for Blue Nile Medical PLLC is 1003322108. It was assigned to this organization in the NPPES registry on December 27, 2017.

Where is Blue Nile Medical PLLC located?

Blue Nile Medical PLLC is located at 9408 Flatlands Ave, Brooklyn, NY 11236. The listed phone number is (718) 272-0977.

What is Blue Nile Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Blue Nile Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1020714) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Nile Medical PLLC was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.