SOUTH BROOKLYN MEDICAL ADMINISTRATIVE SERVICES, INC.
NPI 1114093523
Clinic/Center in Brooklyn, NY

Active since November 28, 2006CLIA 33D1046907 · Waiver
685 3RD AVE, BROOKLYN, NY 11232(718) 788-2594(718) 788-5848 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About South Brooklyn Medical Administrative Services, Inc. NPPES

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

SOUTH BROOKLYN MEDICAL ADMINISTRATIVE SERVICES, INC. (NPI 1114093523) is a healthcare organization registered as a clinic/center in Brooklyn, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Alexis Bosco, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1114093523
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH BROOKLYN MEDICAL ADMINISTRATIVE SERVICES, INC.
Location Address685 3RD AVEBrooklyn, NY 11232-1108
Mailing Address685 3rd AveBrooklyn, NY 11232-1108 · (718) 788-2594 · Fax (347) 529-4829
Fax(718) 788-5848
Organization SubpartNo
Authorized OfficialAlexis BoscoAdministrative Director · (718) 788-2594
Enumeration DateNovember 28, 2006
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
NPI 1114093523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in NY · 7001121R
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
685 3RD AVE, Brooklyn, NY 11232

Other Identifiers 1

Medicaid02737286NY

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 33D1046907

South Brooklyn Medical Administrative Services Inc · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D1046907
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 21, 2005
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Joseph C. Bottino
Laboratory Phone(718) 788-2594
Laboratory LocationSouth Brooklyn Medical Administrative Services Inc685 Third Avenue, Brooklyn, NY 11232
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
719 services20 patients

Other Providers at the Same Location NPPES

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

Physician Assistant
685 3RD AVE
BROOKLYN, NY 11232

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 South Brooklyn Medical Administrative Services, Inc.'s NPI number?

The NPI number for South Brooklyn Medical Administrative Services, Inc. is 1114093523. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is South Brooklyn Medical Administrative Services, Inc. located?

South Brooklyn Medical Administrative Services, Inc. is located at 685 3rd Ave, Brooklyn, NY 11232. The listed phone number is (718) 788-2594.

What is South Brooklyn Medical Administrative Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does South Brooklyn Medical Administrative Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1046907) 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 South Brooklyn Medical Administrative Services, Inc. was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.