St. Nicholas Gastroenterology P C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ST. NICHOLAS GASTROENTEROLOGY P C

Practice address

129 St. Nicholas Ave
Brooklyn, NY 11237

Phone

(718) 821-0643

Fax

(718) 628-4123

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yashpal Arya, M.D.

Title

President

Phone

(718) 821-0643

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316074909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 ST. NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-821-0643",
            "fax_number": "718-628-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 ST. NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-821-0643",
            "fax_number": "718-628-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. NICHOLAS GASTROENTEROLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARYA",
        "authorized_official_first_name": "YASHPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-821-0643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00210779",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Marks Brooklyn Associates LLC
• St. Marks Medical, P.C.
• St. Marks Painless Dental
• St. Mary'S Hospital
• St. Mary'S Hospital for Children
• St. Nicholas Human Support Corporation
• St. Nicholas Medical PC
• St. Nicholas OB/GYN Associates, P.C.
• St. Nicks Alliance Corp
• St. Nicks Alliance Home Care Corp.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.