SEA GATE MEDICAL
NPI 1316234669
Family Medicine - Adult Medicine in Brooklyn, NY

Q: What is Sea Gate Medical's NPI number?

The NPI number for Sea Gate Medical is 1316234669. It was assigned to this organization in the NPPES registry on July 7, 2011.

Q: What is Sea Gate Medical's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Sea Gate Medical was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 07, 2011

1961 CONEY ISLAND AVE, BROOKLYN, NY 11223(718) 344-7637(718) 490-1468 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sea Gate Medical NPPES

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

SEA GATE MEDICAL (NPI 1316234669) is a healthcare organization registered as an adult medicine in Brooklyn, New York and active in the NPI registry since July 2011. The organization lists Valentin Pridatko, Do, as its authorized official.

NPPES Registry Identity

NPI1316234669

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameSEA GATE MEDICAL

Location Address1961 CONEY ISLAND AVEBrooklyn, NY 11223-2328

Mailing Address2580 Ocean Pkwy, Apt. 2lBrooklyn, NY 11235-7746 · (718) 236-5077 · Fax (718) 715-1437

Phone(718) 344-7637

Fax(718) 490-1468

Organization SubpartNo

Authorized OfficialValentin PridatkoDo · (718) 236-5077

Enumeration DateJuly 7, 2011

✔ NPI 1316234669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in NY · 205927

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1961 CONEY ISLAND AVE, Brooklyn, NY 11223

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Other Identifiers 1

Medicaid018288888537NY

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

Other Providers at the Same Location NPPES

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

SOFIA TOFIGA GAMIDOVA APN-C

Nurse Practitioner (Adult Health)

1961 CONEY ISLAND AVE
BROOKLYN, NY 11223

Kings County (718) 339-6425

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 Sea Gate Medical's NPI number?

The NPI number for Sea Gate Medical is 1316234669. It was assigned to this organization in the NPPES registry on July 7, 2011.

Where is Sea Gate Medical located?

Sea Gate Medical is located at 1961 Coney Island Ave, Brooklyn, NY 11223. The listed phone number is (718) 344-7637.

What is Sea Gate Medical's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Sea Gate Medical was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.