Organization Active NPI

JP Gastroenterology Medical Practice, P.C.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1104130863
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
170169 Issued in NY
Legal business name
JP GASTROENTEROLOGY MEDICAL PRACTICE, P.C.
Practice address
57 W 57TH St
Suite 1107
New York, NY 10019-2802
Phone
(212) 838-2200
Fax
(212) 838-2111
NPI assigned
Aug 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. James Palma, M.D.NPI 1821114091
Title
Owner
Phone
(212) 838-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 170169 NY Primary

Addresses

Primary practice location

57 W 57TH St
Suite 1107
New York, NY 10019-2802

Mailing address

57 W 57TH St
Suite 1107
New York, NY 10019-2802
Phone (212) 838-2200

Other identifiers 1

IdentifierTypeStateIssuer
01362481MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110712000022 NY Part B Supplier - Clinic/Group Practice 9830377126 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2279755JP Gastroenterology Medical Practice, PC57 West 57TH Street, New York, NY 10019ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

57 W 57th St
Ste 1107
New York, NY 10019
Phone (212) 403-0389

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1104130863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 1107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802",
            "telephone_number": "212-838-2200",
            "fax_number": "212-838-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST",
            "address_2": "SUITE 1107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802",
            "telephone_number": "212-838-2200",
            "fax_number": "212-838-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP GASTROENTEROLOGY MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-838-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "170169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01362481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.