Jose Goris MD PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0050751 Issued in NY

Legal business name

JOSE GORIS MD PC

Practice address

435 Fort Washington Avenue #1C
New York, NY 10033

Phone

(212) 923-0408

Fax

(212) 923-4032

NPI assigned

Feb 15, 2008

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

Luis Blanco, RPAC

Title

Physician Assistant

Phone

(212) 923-0408

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jose a Goris MD PC2 organizations share this tax ID, including this one

Part of

Jose a Goris MD PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jose a Goris, MD PC

  • General Practice Physician
  • New York, NY
  • NPI 1477673077
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose A Goris, M.D.

  • General Practice Physician
  • New York, NY
  • NPI 1790714962
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1245408970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PROSPECT STREET",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "845-238-2168",
            "fax_number": "212-923-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FORT WASHINGTON AVENUE #1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-923-0408",
            "fax_number": "212-923-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE GORIS MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "212-923-0408",
        "authorized_official_credential": "RPAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "0050751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02102849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Konnor Jorn, PSYD
• Jackie Lynne Jornadal, PA-C
• Jose a Baez MD PC.
• Jose a Goris, MD PC
• Jose D Aristy MD PC
• Jose Lares-Guia Physician PC
• Jose Ortiz MD PC
• Jose Paul Loor DPM PLLC
• Clementina Jose
• Deepa Jose, NP

• Health Service Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.