GOTHAM GASTROENTEROLOGY, PLLC


Address: 535 5th Ave, New York, NY 10017-3620
Phone: 2125702075

GOTHAM GASTROENTEROLOGY, PLLC (NPI# 1750701611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750701611
Entity Type Organization
Organization Name GOTHAM GASTROENTEROLOGY, PLLC
Other Organization Name DIGESTIVE DISEASE LABORATORY
Practice Address 535 5th Ave
New York
NY 10017-3620
Mailing Address 1317 3rd Ave
New York
NY 10021-2995
Practice Telephone 2125702075
Enumeration Date 2014-04-18
Last Update Date 2014-04-18
Authorized Official Name DR. PETER S KIM (MEDICAL DIRECTOR)
Authorized Official Telephone 2127940240
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 190910 NY Laboratories

Other Provider/Organization Names

Other Name Type Code
Digestive Disease Laboratory Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659698116 Gotham Gastroenterology, Pllc Internal Medicine 1317 3rd Ave, New York, NY 10021-2995 2010-04-23

Office Location

Street Address 535 5TH AVE
City NEW YORK
State NY
Zip Code 10017-3620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467595223 Marc Richard Bobrowsky Chiropractor 535 5th Ave, Suite 920, New York, NY 10017-3620 2007-02-14
1871088559 Mariela Letizia Deleon Registered Nurse 535 5th Ave, New York, NY 10017-3620 2018-06-26
1437516523 Varuzhan Dovlatyan, Physician, Pllc Anesthesiology 535 5th Ave, Suite 906, New York, NY 10017-3620 2016-01-21
1497136568 Daniel D. Feldman Md, Pllc Physical Medicine & Rehabilitation 535 5th Ave, Suite 906, New York, NY 10017-8007 2015-06-15
1114330255 Gotham Medical Associates, Pllc Specialist 535 5th Ave, Suite 611, New York, NY 10017-3620 2014-06-06
1831487115 Mpg Medical Services, Pllc Specialist 535 5th Ave, 5th Floor, New York, NY 10017-3620 2011-07-20
1871889766 David Emil Aguilar Chiropractor 535 5th Ave, Suite 920, New York, NY 10017-3620 2011-06-20
1427340108 Better Body Solutions Chiropractor 535 5th Ave, #920, New York, NY 10017-3620 2011-05-12
1124324181 Manhattan Endoscopy Center LLC Clinic/Center 535 5th Ave, New York, NY 10017-3620 2011-02-08
1659532802 Michael Peter Glick Internal Medicine 535 5th Ave, Suite 611, New York, NY 10017-3620 2008-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700424702 Amanda Arielle Grannum Social Worker 227 E 41st Street, New York, NY 10017 2019-12-20
1205399748 Jasmine Marie Williams Social Worker Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 2019-04-11
1093208415 Kaylin Salubro Nurse Practitioner 18 E 41st St Fl 12, New York, NY 10017 2018-06-11
1932698792 Bryan Cordes Social Worker 295 Madison Avenue, Suite 707, New York, NY 10017 2018-05-08
1376048173 Matthew Bernstein, M.d. Pllc Psychiatry & Neurology 370 Lexington Avenue, Suite 1001, New York, NY 10017 2018-03-26
1285137430 Midtown East Podiatry and Foot Surgery L.L.C. Podiatrist 230 E 48th St., #1b, New York, NY 10017 2018-03-14
1831692136 Olga S Pankiv Nurse Practitioner 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 2018-03-13
1023523198 Randa Jaafar Md,pc Pain Medicine 340 East 49th St., Ground Floor, New York, NY 10017 2017-12-11
1962912154 Yonatan Moshe Sobin Psychologist 370 Lexington Ave Rm 1000, New York, NY 10017 2017-10-03
1558880344 Jendayi Polite Counselor 100 Park Ave Fl 16, New York, NY 10017 2017-09-13
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1093111312 New Amsterdam Genomics, Inc. Clinical Medical Laboratory 114 E 1st St Apt 7, New York, NY 10009-7925 2014-11-13
1689084949 Bio Reference Laboratories, Inc. Clinical Medical Laboratory 1070 Park Ave Ste 1a, New York, NY 10128-1000 2014-05-07
1508207457 Weill Cornell Medical College Clinical Medical Laboratory 1300 York Ave - Room C-302, Weill Cornell Medical College, New York, NY 10065 2013-07-08
1942548599 Robert Ira Kalish Clinical Medical Laboratory 57 Warren St Apt 2, New York, NY 10007-1018 2013-01-16
1396005781 Faculty Practice Associates Mount Sinai School of Medicine Clinical Medical Laboratory 1428 Madison Ave Fl 2, New York, NY 10029-6508 2012-05-21
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City NEW YORK
Zip Code 10017

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Dataset Information

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.

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