Douglas E Menikheim MD Jeffrey S Kalman MD & C Yiachos MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DOUGLAS E MENIKHEIM MD JEFFREY S KALMAN MD & C YIACHOS MD PC

Doing business as

Staten Island Gastronenterology

Practice address

129 Slosson Ave
Staten Island, NY 10314-2522

Phone

(718) 720-5928

Fax

(718) 720-6706

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ann McCormick

Title

Billing Manager

Phone

(718) 720-5928

Specialties & licenses 1

Addresses

Other names 1

• STATEN ISLAND GASTRONENTEROLOGY Doing business as

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1265621494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SLOSSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142522",
            "telephone_number": "718-720-5928",
            "fax_number": "718-720-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SLOSSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142522",
            "telephone_number": "718-720-5928",
            "fax_number": "718-720-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS E MENIKHEIM MD JEFFREY S KALMAN MD & C YIACHOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-720-5928",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATEN ISLAND GASTRONENTEROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Dosso, RPH
• Thomas S. Doty, P.A.
• Double R Consulting
• Dianne Barbara Dougherty, FNP
• Meghan Dougherty, RN
• Jade Douglas
• Melanie Douglas, PA-C
• Patricia Douglas, MS
• Andrea Kathryn Doumar, OTR/L
• Jennifer Dove, RN

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.