Organization Active NPI

Igal Khorshidi, M.D., P.C.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1265860753
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
256986 Issued in NY
Legal business name
IGAL KHORSHIDI, M.D., P.C.
Practice address
888 Park Ave
Suite #1B
New York, NY 10075-0235
Phone
(212) 734-0000
Fax
(212) 679-6160
NPI assigned
Oct 22, 2013
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
IGAL KHORSHIDI, M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Dr. Igal Khorshidi, M.D.NPI 1659500668
Title
President
Phone
(516) 456-0304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 256986 NY Primary

Addresses

Primary practice location

888 Park Ave
Suite #1B
New York, NY 10075-0235

Mailing address

888 Park Ave
Suite #1B
New York, NY 10075-0235
Phone (212) 734-0000

National Provider Directory

National Provider Directory
Part of
Igal Khorshidi MD PC

Locations

888 Park Ave
Ofc 1B
New York, NY 10075
Phone (212) 734-0000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1265860753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 PARK AVE",
            "address_2": "SUITE #1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750235",
            "telephone_number": "212-734-0000",
            "fax_number": "212-679-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PARK AVE",
            "address_2": "SUITE #1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750235",
            "telephone_number": "212-734-0000",
            "fax_number": "212-679-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGAL KHORSHIDI, M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IGAL KHORSHIDI, M.D., P.C.",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "KHORSHIDI",
        "authorized_official_first_name": "IGAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-456-0304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "256986",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 22, 2013; 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.