GATEWAY PHYSICIAN GROUP PLLC (NPI# 1548492226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548492226 |
| Entity Type | Organization |
| Organization Name | GATEWAY PHYSICIAN GROUP PLLC |
| Practice Address |
186 Joralemon St 8th Floor Brooklyn NY 11201-4326 |
| Practice Telephone | 7188583263 |
| Mailing Telephone | 7188583263 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |
| Authorized Official Name | CAROL GODDARD (ADMINISTRATOR) |
| Authorized Official Telephone | 7188583263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
185657 | NY | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 222545 | NY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
239276 | NY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
096783 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
186 JORALEMON ST 8TH FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022520 | Jennifer Hill | Physician Assistant | 186 Joralemon St, 8th Floor, Brooklyn, NY 11201-4356 | 2005-06-13 |
| 1659723765 | Ashley Dolan | Psychologist | 186 Joralemon St, Fifth Floor, Brooklyn, NY 11201-4356 | 2016-07-13 |
| 1053790642 | John F Charitable | Surgery | 186 Joralemon St, Brooklyn, NY 11201-4356 | 2015-05-28 |
| 1619364957 | Weill Medical College of Cornell | Internal Medicine | 186 Joralemon St, Brooklyn, NY 11201-4356 | 2015-04-24 |
| 1417383712 | Dina Nibelitsky | Physical Therapist | 186 Joralemon St, Brooklyn, NY 11201-4356 | 2013-09-18 |
| 1639423940 | Susie M Chow | Family Medicine | 186 Joralemon St, Brooklyn, NY 11201-4356 | 2012-11-08 |
| 1730463407 | Sneha P Sawant | Physical Therapist | 186 Joralemon St, 8th Floor, Brooklyn, NY 11201-4356 | 2011-09-29 |
| 1881906766 | Jean-jeffrey Marcellus | Nurse Practitioner | 186 Joralemon St, 11th Floor, Brooklyn, NY 11201-4356 | 2010-07-08 |
| 1124344627 | Cobble Hill Gynecology Fpp | Specialist | 186 Joralemon St, Brooklyn, NY 11201-4326 | 2010-04-09 |
| 1265676514 | Pomin Yeung | Internal Medicine | 186 Joralemon St, Brooklyn, NY 11201-4356 | 2009-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
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| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031577 | Eighth Avenue Medical, Pllc | Pain Medicine | 839 57th St Fl 1, Brooklyn, NY 11220-6851 | 2016-01-22 |
| 1770739401 | Pain Medical, Pllc | Pain Medicine | 813 Quentin Road, Suite 200, Brooklyn, NY 11223-2220 | 2008-08-13 |
| 1235123597 | Olga Tyuleneva | Pain Medicine | 1120 Brighton Beach Ave, Unit 1xz, Brooklyn, NY 11235-5572 | 2005-09-01 |
| 1487287884 | Ashraf Salem Md PC | Pain Medicine | 144 E 98th St Ste B, Brooklyn, NY 11212-3808 | 2020-02-14 |
| 1710308887 | Interventional Pain Management, P.C. | Pain Medicine | 668 5th Ave, Brooklyn, NY 11215-6305 | 2013-12-17 |
| 1649691791 | New York Interventional Pain Management, P.C. | Pain Medicine | 668 5th Ave, Brooklyn, NY 11215-6305 | 2013-12-16 |
| 1407135650 | Msk Medicine Pllc | Pain Medicine | 813 Quentin Rd, Suite 200, Brooklyn, NY 11223-2251 | 2011-08-05 |
| 1255625901 | North East Empire Medical, P.C. | Pain Medicine | 1111 Ocean Ave, Brooklyn, NY 11230-2039 | 2011-05-30 |
| 1811901044 | Glenn Lee Goldstein | Pain Medicine | 348 13th St, Brooklyn, NY 11215-5004 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617917 | New York Pain Consultants LLC | Pain Medicine | 550 Mamaroneck Ave Ste 503, Harrison, NY 10528-1609 | 2019-09-09 |
| 1528553559 | Surgical Pain Center of The Adirondacks, LLC | Pain Medicine | 470 Tom Miller Rd, Plattsburgh, NY 12901-6432 | 2018-06-22 |
| 1922509769 | Bl Pain Management Pllc | Pain Medicine | 9618 63rd Dr Ste 202, Rego Park, NY 11374-2239 | 2018-02-27 |
| 1588183008 | Mmiddletown Interventional Pain Management, P.C. | Pain Medicine | Middletown Interventional Pain Management, P.C., 400 Route 211 East Suite 12, Middletown, NY 10940-2123 | 2017-09-15 |
| 1861918781 | New York Pain Consultants LLC | Pain Medicine | 115 E 57th St Ste 610, New York, NY 10022-2129 | 2017-08-22 |
| 1437556040 | New York Pain Consultants, LLC | Pain Medicine | 8 Saxon Ave Ste E, Bay Shore, NY 11706-7036 | 2014-11-25 |
| 1801200423 | Ayesha Hameed | Pain Medicine | 1111 Broadhollow Rd Ste 114, Farmingdale, NY 11735 | 2014-06-12 |
| 1285973438 | Irfan A Alladin, Md PC | Pain Medicine | 2901 Bayview Ave, Baldwin, NY 11510-4451 | 2013-02-07 |
| 1336490663 | Bhupinder Singh Bolla Md Pllc | Pain Medicine | 107 Court St, Watertown, NY 13601-2534 | 2012-09-26 |
| 1437410024 | Vasilios Kountis | Pain Medicine | 1317 3rd Ave Fl 7, New York, NY 10021 | 2012-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.