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

Q: 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.

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: October 18, 2026.

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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

Phone(718) 434-0202

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

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Brooklyn Gastroenterology Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20111122000724Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Greater Brooklyn Gastroenterology Care PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michel Jose Charles, MD

Gastroenterology

NPI 1598711459

3621 GLENWOOD RD
Brooklyn, NY 11210

(718) 434-0202

✔ PECOS✔ Accepts MedicareSame 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 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.

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.

Is Greater Brooklyn Gastroenterology Care PC enrolled in Medicare?

Yes. Greater Brooklyn Gastroenterology Care PC is registered in the Medicare PECOS enrollment system.

When is Greater Brooklyn Gastroenterology Care PC'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 December 31, 2026. 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 Greater Brooklyn Gastroenterology Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Greater Brooklyn Gastroenterology Care PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.