Individual ProviderJorge SerjeInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address362 9th St, Brooklyn, NY 11215-4008(718) 499-6099PECOS EnrollmentBased on the most recent information from CMS, provider Jorge Serje is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1285681643Provider TypeIndividualFull NameSerje, JorgeCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date5/30/2006Last Updated10/11/2007Contact InformationPractice LocationPractice Address362 9th St, Brooklyn, NY 11215-4008Phone(718) 499-6099Fax(718) 499-6391Mailing LocationMailing Address362 9th St, Brooklyn, NY 11215-4008Phone(718) 499-6099Fax(718) 499-6391Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense179466New YorkProvider IdentifiersIDDescriptionIssuerID01418304DescriptionMedicaidIssuerUnlistedNew York