GREATER BROOKLYN GASTROENTEROLOGY CARE PC
NPI 1457652901
Internal Medicine - Gastroenterology in Brooklyn, NY

Active since November 14, 2010CLIA 33D2072290 · Waiver
3621 GLENWOOD RD, BROOKLYN, NY 11210(718) 434-0202 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greater Brooklyn Gastroenterology Care Pc NPPES

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

GREATER BROOKLYN GASTROENTEROLOGY CARE PC (NPI 1457652901) is a healthcare organization registered as a gastroenterology in Brooklyn, New York and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Michel Jose Charles, President, as its authorized official.

NPPES Registry Identity

NPI1457652901
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGREATER BROOKLYN GASTROENTEROLOGY CARE PC
Location Address3621 GLENWOOD RDBrooklyn, NY 11210-1944
Mailing Address157 Saint Pauls Rd NHempstead, NY 11550-1133 · (718) 869-1501 · Fax (718) 940-8327
Organization SubpartNo
Authorized OfficialMichel Jose CharlesPresident · (718) 434-0202
Enumeration DateNovember 14, 2010
Last NPPES UpdateMay 1, 2019
NPI 1457652901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 196901
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.
3621 GLENWOOD RD, Brooklyn, NY 11210

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

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 33D2072290

Greater Brooklyn Gastroenterology Care PC · Brooklyn, NY
Active · expires Jan 27, 2028
CLIA Number33D2072290
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorDr. Michel Jose Charles
Laboratory Phone(718) 434-0202
Laboratory LocationGreater Brooklyn Gastroenterology Care PC3621 Glenwood Road, Brooklyn, NY 11210
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 3

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

Physical Medicine & Rehabilitation
3621 GLENWOOD RD
BROOKLYN, NY 11210
Internal Medicine (Gastroenterology)
3621 GLENWOOD RD
BROOKLYN, NY 11210
Orthopaedic Surgery
3621 GLENWOOD RD
BROOKLYN, NY 11210

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 Greater Brooklyn Gastroenterology Care PC's NPI number?

The NPI number for Greater Brooklyn Gastroenterology Care PC is 1457652901. It was assigned to this organization in the NPPES registry on November 14, 2010.

Where is Greater Brooklyn Gastroenterology Care PC located?

Greater Brooklyn Gastroenterology Care PC is located at 3621 Glenwood Rd, Brooklyn, NY 11210. The listed phone number is (718) 434-0202.

What is Greater Brooklyn Gastroenterology Care PC's specialty?

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

Does Greater Brooklyn Gastroenterology Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2072290) is associated with this NPI, valid through January 27, 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 Greater Brooklyn Gastroenterology Care PC was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.