| Bay Ridge Gastroenterology, Pllc | |
|
9920 4th Ave Ste 205 Brooklyn NY 11209-8328 | |
| (718) 745-0623 | |
| (718) 745-8091 |
| Full Name | Bay Ridge Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9920 4th Ave Ste 205, Brooklyn, New York |
| Authorized Official Name and Position | Anila Hoxha (PRACTICE MANAGER) |
| Authorized Official Contact | 7187450623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Ridge Gastroenterology, Pllc 9920 4th Ave Ste 205 Brooklyn NY 11209-8328 Ph: (718) 745-0623 | Bay Ridge Gastroenterology, Pllc 9920 4th Ave Ste 205 Brooklyn NY 11209-8328 Ph: (718) 745-0623 |
| NPI Number | 1538816624 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/09/2022 |
| Medicare PECOS PAC ID | 1658740469 |
|---|---|
| Medicare Enrollment ID | O20221216001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538816624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Huaibao Sheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942299516 PECOS PAC ID: 9133192156 Enrollment ID: I20040818000113 |
| Provider Name | Harry G Demeo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245313709 PECOS PAC ID: 8426107533 Enrollment ID: I20090812000113 |
| Provider Name | Joseph P Kingsbery |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659718708 PECOS PAC ID: 8325460454 Enrollment ID: I20200618002348 |
| Provider Name | Neha Hingorani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053775023 PECOS PAC ID: 3274821632 Enrollment ID: I20221221000666 |
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