Organization Active NPI

Jay C Cowan MD LLC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1124162714
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
201885 Issued in NY
Legal business name
JAY C COWAN MD LLC
Practice address
470 Malcolm X Blvd
Suite 1E
New York, NY 10037-3003
Phone
(212) 281-5252
Fax
(212) 690-3662
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Jay C Cowan, MD
Title
MD
Phone
(212) 281-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 201885 NY Primary

Addresses

Primary practice location

470 Malcolm X Blvd
Suite 1E
New York, NY 10037-3003

Mailing address

470 Malcolm X Blvd
Suite 1E
New York, NY 10037-3003
Phone (212) 281-5252

Other identifiers 7

IdentifierTypeStateIssuer
P403507OtherNYOXFORD
175024OtherNYELDERPLAN
01640266MedicaidNY
2595501OtherNYGHI
201885OtherNYHIP
49J85OtherNYEMPIRE BLUE CROSS
1000000998OtherNYAFFINITY HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

470 Malcolm X Blvd
Apt 1E
New York, NY 10037
Phone (212) 281-5252

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1124162714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MALCOLM X BLVD",
            "address_2": "SUITE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373003",
            "telephone_number": "212-281-5252",
            "fax_number": "212-690-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MALCOLM X BLVD",
            "address_2": "SUITE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373003",
            "telephone_number": "212-281-5252",
            "fax_number": "212-690-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY C COWAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-281-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "201885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P403507",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "175024",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640266",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2595501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "201885",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "49J85",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000000998",
            "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 May 1, 2008; 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.