MINKOWITZ PATHOLOGY
NPI 1104810308
Radiology - Diagnostic Ultrasound in Brooklyn, NY

Active since September 02, 2005CLIA 33D0890049 · Certificate of Compliance
904 49TH ST, BROOKLYN, NY 11219(718) 853-6433(718) 853-6449 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Minkowitz Pathology NPPES

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

MINKOWITZ PATHOLOGY (NPI 1104810308) is a healthcare organization registered as a diagnostic ultrasound in Brooklyn, New York and active in the NPI registry since September 2005. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Gerald Minkowitz, Owner, as its authorized official.

NPPES Registry Identity

NPI1104810308
Entity TypeOrganization
Primary Taxonomy2085U0001X
Legal Business NameMINKOWITZ PATHOLOGY
Location Address904 49TH STBrooklyn, NY 11219-2922
Mailing Address2810 Avenue KBrooklyn, NY 11210-3746 · (718) 853-6433 · Fax (718) 853-6449
Fax(718) 853-6449
Organization SubpartNo
Authorized OfficialGerald MinkowitzOwner · (718) 853-6433
Enumeration DateSeptember 2, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104810308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
License✔ Licensed in NY · 176318
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 176318 (NY)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 176318 (NY)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 176318 (NY)
904 49TH ST, Brooklyn, NY 11219

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minkowitz Pathology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20051103000649Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Minkowitz Pathology, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pathology
NPI 1396747861
904 49TH ST
Brooklyn, NY 11219
(718) 853-6433
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1265668776
904 49TH ST
Brooklyn, NY 11219
(718) 853-6433
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 33D0890049

Minkowitz Pathology PC · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D0890049
Laboratory TypeIndependent
Certificate Effective DateJuly 1, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gerald Minkowitz
Laboratory Phone(718) 853-6433
Laboratory LocationMinkowitz Pathology PC904 49th Street, Brooklyn, NY 11219
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Minkowitz Pathology's NPI number?

The NPI number for Minkowitz Pathology is 1104810308. It was assigned to this organization in the NPPES registry on September 2, 2005.

Where is Minkowitz Pathology located?

Minkowitz Pathology is located at 904 49th St, Brooklyn, NY 11219. The listed phone number is (718) 853-6433.

What is Minkowitz Pathology's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

Is Minkowitz Pathology enrolled in Medicare?

Yes. Minkowitz Pathology is registered in the Medicare PECOS enrollment system.

When is Minkowitz Pathology's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Minkowitz Pathology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pathology, reassign their Medicare billing to Minkowitz Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minkowitz Pathology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0890049) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Minkowitz Pathology was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.