PARK SLOPE GASTROENTEROLOGY PLLC
NPI 1427829340
Internal Medicine - Gastroenterology in Brooklyn, NY

Active since January 10, 2024CLIA 33D2300402 · Certificate of Compliance
360 9TH ST, BROOKLYN, NY 11215(212) 417-0150 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Park Slope Gastroenterology Pllc NPPES

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

PARK SLOPE GASTROENTEROLOGY PLLC (NPI 1427829340) is a healthcare organization registered as a gastroenterology in Brooklyn, New York and active in the NPI registry since January 2024. The organization holds a CLIA Certificate of Compliance certificate valid through April 6, 2028 and lists Joseph Kingsbery, Md, as its authorized official.

NPPES Registry Identity

NPI1427829340
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePARK SLOPE GASTROENTEROLOGY PLLC
Location Address360 9TH STBrooklyn, NY 11215-4008
Mailing Address116 Sandford StBrooklyn, NY 11205-2987
Organization SubpartNo
Authorized OfficialJoseph KingsberyMd · (732) 778-9550
Enumeration DateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1427829340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
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.
360 9TH ST, Brooklyn, NY 11215

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Slope Gastroenterology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Park Slope Gastroenterology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Gastroenterology
NPI 1679550669
166 CLINTON ST
Brooklyn, NY 11201
(718) 834-0100
✔ PECOS1.7 mi
Gastroenterology
NPI 1659718708
9920 4TH AVE STE 205
Brooklyn, NY 11209
(718) 745-0623
✔ PECOS✔ Accepts Medicare4.6 mi

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 33D2300402

Park Slope Gastroenterology PLLC · Brooklyn, NY
Active · expires Apr 6, 2028
CLIA Number33D2300402
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorDr. Jim Z. Lu
Laboratory Phone(212) 417-0150
Laboratory LocationPark Slope Gastroenterology PLLC360 9th Street, First Floor, Brooklyn, NY 11215
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 Park Slope Gastroenterology PLLC's NPI number?

The NPI number for Park Slope Gastroenterology PLLC is 1427829340. It was assigned to this organization in the NPPES registry on January 10, 2024.

Where is Park Slope Gastroenterology PLLC located?

Park Slope Gastroenterology PLLC is located at 360 9th St, Brooklyn, NY 11215. The listed phone number is (212) 417-0150.

What is Park Slope Gastroenterology PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Park Slope Gastroenterology PLLC enrolled in Medicare?

Yes. Park Slope Gastroenterology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Slope Gastroenterology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Gastroenterology, reassign their Medicare billing to Park Slope Gastroenterology PLLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Park Slope Gastroenterology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2300402) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Slope Gastroenterology PLLC was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.