Gobikrishna Physician PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

194921-1 Issued in NY

Legal business name

GOBIKRISHNA PHYSICIAN PC

Practice address

623 E 233Rd St
Bronx, NY 10466-2801

Phone

(718) 325-5368

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Ariaratnam GobikrishnaNPI 1447295845

Title

Sole Proprieter

Phone

(914) 345-8015

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Ariaratnam Gobikrishna

  • Specialist
  • Bronx, NY
  • NPI 1447295845
  Medicare reassignment Authorized official
• Wayne V Gulston, MD

  • Diagnostic Radiology Physician
  • Bronx, NY
  • NPI 1578611836
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1235174616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 KNOLLWOOD ROAD EXT",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662801",
            "telephone_number": "718-325-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOBIKRISHNA PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "GOBIKRISHNA",
        "authorized_official_first_name": "ARIARATNAM",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "914-345-8015"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "194921-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01466320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Somaria Gobadan, REGISTERED NURSE
• Melanie Gober
• Hemwatie Goberdhan, NP
• Pasram Goberdhan
• Crystal Janine Gobern, MS, OTR/L
• Ariaratnam Gobikrishna
• Claudette Cecelia Goburn, LICENSED NURSE
• Patrice Goburn
• Barbara Diane Gochberg, PH.D.
• Aditya Amit Godbole, MBBS

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.