INTERBORO SURGICAL ASSOCIATES, P.C. (NPI# 1679670210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679670210 |
| Entity Type | Organization |
| Organization Name | INTERBORO SURGICAL ASSOCIATES, P.C. |
| Practice Address |
8318 4th Ave Brooklyn NY 11209-4413 |
| Practice Telephone | 7187480500 |
| Practice Fax Number | 7187485539 |
| Mailing Telephone | 7187480500 |
| Mailing Fax Number | 7187485539 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GREGORY R. BREVETTI (DIRECTOR) |
| Authorized Official Telephone | 7187480500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 222936 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INTERBORO SURGICAL ASSOCIATES, P.C. | 19-02 Whitestone Expressway, Whitestone, Ny 11357 |
| Street Address |
8318 4TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954435 | Gregory R. Brevetti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2005-12-22 |
| 1962027078 | Gregory Brevetti, M.d, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2020-06-15 |
| 1831714948 | Advanced Surgical Artistry, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2020-06-15 |
| 1740527043 | New York Robotic Thoracic and Endovascular Surgeons PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2013-01-07 |
| 1962720425 | Kimberly Song | Surgery | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2010-05-08 |
| 1992718621 | Chihee Christine Huh | Internal Medicine | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2006-08-14 |
| 1578582292 | Mark H Genovesi | Surgery | 8318 4th Ave, Brooklyn, NY 11209-4413 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639694805 | Bay Ridge Surgi-center LLC | Surgery | 370 Bay Ridge Pkwy Ste 1, Brooklyn, NY 11209-3164 | 2017-08-09 |
| 1871977298 | Siarhei Melnikau | Surgery | 321 86th St Apt 2d, Brooklyn, NY 11209-5027 | 2015-07-15 |
| 1356757868 | Cristina Pate | Surgery | 5 Maspeth Ave, Brooklyn, NY 11211-2508 | 2014-07-03 |
| 1740601152 | Guy Yves Augustin | Surgery | 2603 Avenue D, Brooklyn, NY 11226-7811 | 2014-01-02 |
| 1720420763 | Mohammad Hamshow | Surgery | 948 48th St Fl 3, Brooklyn, NY 11219-2918 | 2013-07-18 |
| 1376984310 | Maryam Saeed | Surgery | 450 Clarkson Ave # 40, Brooklyn, NY 11203-2012 | 2013-07-06 |
| 1346680790 | Joseph A Sidaoui | Surgery | 27 Kingsland Ave Apt 2l, Brooklyn, NY 11211-1551 | 2013-06-30 |
| 1336584333 | Joseph Rothman | Surgery | 1316 E 24th St, Brooklyn, NY 11210-5143 | 2013-05-03 |
| 1083954648 | Jacques Duperval, Md, Fics, Facs, PC | Surgery | 60 Plaza Street East, Suite S-3, Brooklyn, NY 11238 | 2013-02-19 |
| 1700123189 | Liba Shaffer | Surgery | 9 E 91st St, Brooklyn, NY 11212-1501 | 2013-01-06 |
| Find all providers in BROOKLYN | ||||
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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.