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MODERN GASTROENTEROLOGY PC
NPI 1578965638
Internal Medicine - Gastroenterology in Brooklyn, NY

Active since September 20, 2014
2705 MERMAID AVE, BROOKLYN, NY 11224(718) 265-2222(718) 333-1023 Get Directions Write a Review

NPPES record last updated: September 20, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Modern Gastroenterology Pc NPPES

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

MODERN GASTROENTEROLOGY PC (NPI 1578965638) is a healthcare organization registered as a gastroenterology in Brooklyn, New York and active in the NPI registry since September 2014. The organization lists Konstantin Vaizman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1578965638
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMODERN GASTROENTEROLOGY PC
Location Address2705 MERMAID AVEBrooklyn, NY 11224-2005
Mailing Address947 79th St, Ste 1Brooklyn, NY 11228-2613 · (347) 446-6839 · Fax (718) 333-1023
Phone(718) 265-2222
Fax(718) 333-1023
Organization SubpartNo
Authorized OfficialKonstantin VaizmanMedical Director · (347) 446-6839
Enumeration DateSeptember 20, 2014
✔ NPI 1578965638 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.
2705 MERMAID AVE, Brooklyn, NY 11224
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Konstantin Vaizman, M.D.
Gastroenterology
NPI 1639268105
8622 BAY PKWY STE 1
Brooklyn, NY 11214
(718) 333-2020
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Modern Gastroenterology PC's NPI number?

The NPI number for Modern Gastroenterology PC is 1578965638. It was assigned to this organization in the NPPES registry on September 20, 2014.

Where is Modern Gastroenterology PC located?

Modern Gastroenterology PC is located at 2705 Mermaid Ave, Brooklyn, NY 11224. The listed phone number is (718) 265-2222.

What is Modern Gastroenterology PC's specialty?

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

Is Modern Gastroenterology PC enrolled in Medicare?

Yes. Modern Gastroenterology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Gastroenterology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Modern Gastroenterology 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.

When was this NPI record last updated?

The NPPES record for Modern Gastroenterology PC was last updated on September 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.