Active NPI
Jay C Cowan MD LLC
- Gastroenterology Physician
- New York, NY
National Provider Identifier
1124162714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 201885
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P403507 | Other | NY | OXFORD |
| 175024 | Other | NY | ELDERPLAN |
| 01640266 | Medicaid | NY | |
| 2595501 | Other | NY | GHI |
| 201885 | Other | NY | HIP |
| 49J85 | Other | NY | EMPIRE BLUE CROSS |
| 1000000998 | Other | NY | AFFINITY HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
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.