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GOTTESMAN MEDICAL PC
NPI 1891288676
Internal Medicine - Adolescent Medicine in Brooklyn, NY

Active since June 07, 2018CLIA Certified · 2 labs
555 LEFFERTS AVE, BROOKLYN, NY 11225(646) 757-8751(877) 885-5991 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gottesman Medical Pc NPPES

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

GOTTESMAN MEDICAL PC (NPI 1891288676) is a healthcare organization registered as an adolescent medicine in Brooklyn, New York and active in the NPI registry since June 2018. The organization holds 2 active CLIA laboratory certificates and lists Avraham J. Gottesman, Vp, as its authorized official.

NPPES Registry Identity

NPI1891288676
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameGOTTESMAN MEDICAL PC
Location Address555 LEFFERTS AVEBrooklyn, NY 11225-4543
Mailing Address555 Lefferts AveBrooklyn, NY 11225-4543 · (646) 757-8751 · Fax (877) 885-5991
Phone(646) 757-8751
Fax(877) 885-5991
Organization SubpartNo
Authorized OfficialAvraham J. GottesmanVp · (646) 757-8751
Enumeration DateJune 7, 2018
Last NPPES UpdateFebruary 4, 2020
✔ NPI 1891288676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in NY · 242626
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
555 LEFFERTS AVE, Brooklyn, NY 11225
Open in Google Maps ↗

Other Identifiers 1

Medicaid03029178NY

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 2

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 33D2161187

Gottesman Medical PC · Brooklyn, NY
Active · expires Jan 28, 2027
CLIA Number33D2161187
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorDr. Avraham Gottesman
Laboratory Phone(646) 757-8751
Laboratory LocationGottesman Medical PC555 Lefferts Avenue - Ste B, Brooklyn, NY 11225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2276780

Gottesman Medical PC · Brooklyn, NY
Active · expires Feb 14, 2027
CLIA Number33D2276780
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDr. Avraham Gottesman
Laboratory Phone(646) 757-8751
Laboratory LocationGottesman Medical PC3111 Ave M Ste B, Brooklyn, NY 11210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

LILIAN POON
Nurse Practitioner (Family)
555 LEFFERTS AVE
BROOKLYN, NY 11225
Kings County (718) 360-8074
RACHEL GOODMAN RD
Dietitian, Registered
555 LEFFERTS AVE
BROOKLYN, NY 11225
Kings County (718) 360-8074
CROWN HEIGHTS URGENT CARE
Clinic/Center (Urgent Care)
555 LEFFERTS AVE
BROOKLYN, NY 11225
Kings County (718) 575-0974
OLGA TARLTON NP
Nurse Practitioner (Adult Health)
555 LEFFERTS AVE
BROOKLYN, NY 11225
Kings County (212) 803-3339
THRIVEWELL, LLC
Clinic/Center (Infusion Therapy)
555 LEFFERTS AVE
BROOKLYN, NY 11225
Kings County (917) 747-0081

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 Gottesman Medical PC's NPI number?

The NPI number for Gottesman Medical PC is 1891288676. It was assigned to this organization in the NPPES registry on June 7, 2018.

Where is Gottesman Medical PC located?

Gottesman Medical PC is located at 555 Lefferts Ave, Brooklyn, NY 11225. The listed phone number is (646) 757-8751.

What is Gottesman Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Does Gottesman Medical PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gottesman Medical PC was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.