Active NPI
Integrated Digestive Medical of New York, P.C.
- Gastroenterology Physician
- New York, NY
National Provider Identifier
1023729548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- INTEGRATED DIGESTIVE MEDICAL OF NEW YORK, P.C.
- Practice address
- 228 Park Ave S Ste 16389
New York, NY 10003-1502 - Phone
- (646) 876-8455
- NPI assigned
- Dec 6, 2022
- Last updated
- Feb 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sameer Kapi Berry
- Title
- Chief Medical Officer
- Phone
- (714) 904-5064
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
228 Park Ave S Ste 16389
New York, NY 10003-1502
Mailing address
228 Park Ave S Ste 16389
New York, NY 10003-1502
Phone (646) 876-8455
Other names 1
- SKB Medical, P.C.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- New York, NY
- NPI 1740636059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1023729548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PARK AVE S STE 16389",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031502",
"telephone_number": "646-876-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 PARK AVE S STE 16389",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031502",
"telephone_number": "646-876-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED DIGESTIVE MEDICAL OF NEW YORK, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-06",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "SAMEER",
"authorized_official_middle_name": "KAPI",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "714-904-5064"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SKB Medical, P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.