Manhattan Integrative Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

255074 Issued in NY

Legal business name

MANHATTAN INTEGRATIVE GASTROENTEROLOGY

Practice address

550 Vanderbilt Ave Apt 803
Brooklyn, NY 11238

Phone

(917) 825-9237

NPI assigned

Aug 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexandra Shustina, DO

Title

Ceo

Phone

(212) 634-4233

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1083194351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108149",
            "telephone_number": "212-634-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 VANDERBILT AVE APT 803",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "917-825-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Broadway Ste 400",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108149",
            "country_code": "US",
            "telephone_number": "212-634-4233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANHATTAN INTEGRATIVE GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SHUSTINA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-634-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "255074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.