Individual provider Active NPI

David J Clain, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1114902343
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
138832 Issued in NY
Practice address
10 Union Square E
#2G, Phillips Ambulatory Care Center
New York, NY 10003-3801
Phone
(212) 420-4521
Fax
(212) 420-4373
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 138832 NY Primary

Addresses

Primary practice location

10 Union Square E
#2G, Phillips Ambulatory Care Center
New York, NY 10003-3801

Mailing address

PO Box 32886
Beth Israel Medical Center, Dept of Gastroenterology
Hartford, CT 06150-2886
Phone (212) 420-4521

Other identifiers 1

IdentifierTypeStateIssuer
00837132MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
138832NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Medical Center Gastroenterology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114902343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32886",
            "address_2": "BETH ISRAEL MEDICAL CENTER, DEPT OF GASTROENTEROLOGY",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061502886",
            "telephone_number": "212-420-4521",
            "fax_number": "212-420-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQUARE E",
            "address_2": "#2G, PHILLIPS AMBULATORY CARE CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033801",
            "telephone_number": "212-420-4521",
            "fax_number": "212-420-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "138832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00837132",
            "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 Jul 13, 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.

Verify at the official NPI Registry.