GOTHAM GASTROENTEROLOGY, PLLC (NPI# 1659698116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659698116 |
| Entity Type | Organization |
| Organization Name | GOTHAM GASTROENTEROLOGY, PLLC |
| Practice Address |
1317 3rd Ave New York NY 10021-2995 |
| Practice Telephone | 2127940240 |
| Practice Fax Number | 2125702038 |
| Mailing Telephone | 2127940240 |
| Mailing Fax Number | 2125702038 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | DR. PETER SUNGWON KIM (PARTNER) |
| Authorized Official Telephone | 2127940240 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
190910 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750701611 | Gotham Gastroenterology, Pllc | Clinical Medical Laboratory | 535 5th Ave, New York, NY 10017-3620 | 2014-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GOTHAM GASTROENTEROLOGY, PLLC | 535 Fifth Avenue, Suite 604, New York, Ny 10017 |
| Street Address |
1317 3RD AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-2995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667133 | Benjamin Lowell Metzger | Internal Medicine | 1317 3rd Ave, Suite 5, New York, NY 10021-2995 | 2005-05-27 |
| 1578059192 | Kevin Towers Dpt Pllc | Physical Therapist | 1317 3rd Ave, New York, NY 10021-2995 | 2018-07-06 |
| 1679922199 | Eric Morgenstern, Md Pllc | Specialist | 1317 3rd Ave, Flr 7, New York, NY 10021-2995 | 2016-06-06 |
| 1891144325 | Jennifer L Bonheur, Md, Pllc | Specialist | 1317 3rd Ave, Fl 7, New York, NY 10021-2995 | 2016-06-06 |
| 1386009546 | Tova Laufer | Physical Therapist | 1317 3rd Ave, New York, NY 10021-2995 | 2015-12-15 |
| 1285973420 | Emanuela Corielli Dds, PC | Dentist | 1317 3rd Ave, Fl. 10, New York, NY 10021-2995 | 2013-02-07 |
| 1508168295 | Andrew Rosenberg | Physical Therapist | 1317 3rd Ave, 6th Floor, New York, NY 10021-2995 | 2010-12-01 |
| 1588896252 | Nicole L. Ridout | Physical Therapist | 1317 3rd Ave, 6th Fl, New York, NY 10021-2995 | 2009-08-14 |
| 1578709408 | East 75th Street Medical, P.C. | Anesthesiology | 1317 3rd Ave, 5th Floor, New York, NY 10021-2995 | 2008-12-24 |
| 1932344389 | Michael Nissen, Md PC | Surgery | 1317 3rd Ave, Ground Floor, New York, NY 10021-2995 | 2008-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1225490477 | Lawrence Franklin Braly | Internal Medicine | 114 Horatio St, 310, New York, NY 10014-1574 | 2016-03-27 |
| 1740693589 | Yaniuska Lescaille | Internal Medicine | 630 W 168th St Rm P&s3-401, New York, NY 10032-3725 | 2014-06-10 |
| 1003233966 | Kohtaro Ooka | Internal Medicine | 530 1st Ave # Hcc4g, New York, NY 10016-6402 | 2014-03-27 |
| 1700201449 | Centre Street Surgery Pllc | Internal Medicine | 139 Centre St Ste 609, New York, NY 10013-4556 | 2014-03-04 |
| 1063844256 | John Chi To Wong | Internal Medicine | 1233 York Ave Apt 15p, New York, NY 10065-6342 | 2013-07-30 |
| 1851735419 | Jonathan Dov Weinberger | Internal Medicine | 145 E 32nd St Fl 3, New York, NY 10016-6055 | 2013-04-24 |
| 1043585227 | Jordan Eric Axelrad | Internal Medicine | 240 E 38th St Fl 23, New York, NY 10016 | 2012-03-20 |
| 1841562758 | Aaa Gastrointestinal PC | Internal Medicine | 499 Fort Washington Ave, Suite Pe1c, New York, NY 10033 | 2012-02-08 |
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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.