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

NPI Status: Active since June 07, 2018

Contact Information

555 LEFFERTS AVE
BROOKLYN, NY
ZIP 11225
Phone: (646) 757-8751
Fax: (877) 885-5991

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  • Organization
  • Internal Medicine
  • Adolescent Medicine
  • CLIA Number: 33D2161187
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-28-2027

About GOTTESMAN MEDICAL PC

This page provides the complete NPI Profile along with additional information for Gottesman Medical Pc, an internist established in Brooklyn, New York operating as a Internal Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1891288676 assigned on June 2018. The practitioner's primary taxonomy code is 207RA0000X with license number 242626 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Avraham J. Gottesman Md (Vp)

NPI
1891288676
Provider Name
GOTTESMAN MEDICAL PC
Entity Type
Organization
Location Address
555 LEFFERTS AVE BROOKLYN, NY 11225
Location Phone
(646) 757-8751
Location Fax
(877) 885-5991
Mailing Address
555 LEFFERTS AVE BROOKLYN, NY 11225
Mailing Phone
(646) 757-8751
Mailing Fax
(877) 885-5991
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2018
Last Update Date
02-04-2020
Code Navigator

An internist like Gottesman Medical Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Adolescent Medicine

Taxonomy Code
207RA0000X
Type
Allopathic & Osteopathic Physicians
License No.
242626
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AVRAHAM J. GOTTESMAN MD

Authorized Official Title
VP
Authorized Official Phone
(646) 757-8751

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03029178MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2161187
Facility Type
Physician Office
Certificate Effective Date
January 29, 2025
Certificate Expiration Date
January 28, 2027
Laboratory Director
DR. AVRAHAM GOTTESMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gottesman Medical Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891288676, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 4 + 8 + 1 + 6 + 6 + 1 + 4 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1891288676.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Urgent Care)
555 LEFFERTS AVE
BROOKLYN, NY 11225
Dietitian, Registered
555 LEFFERTS AVE
BROOKLYN, NY 11225
Clinic/Center (Infusion Therapy)
555 LEFFERTS AVE
BROOKLYN, NY 11225
Nurse Practitioner (Adult Health)
555 LEFFERTS AVE
BROOKLYN, NY 11225
Nurse Practitioner (Family)
555 LEFFERTS AVE
BROOKLYN, NY 11225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891288676, enumerated as an "organization" on June 07, 2018.

The provider is located at 555 LEFFERTS AVE BROOKLYN, NY 11225 and the phone number is (646) 757-8751.

Internal Medicine with taxonomy code 207RA0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.