Cny Gastroenterology, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CNY GASTROENTEROLOGY, PLLC

Practice address

77 Nelson St
Suite 240
Auburn, NY 13021-1944

Phone

(315) 252-0810

Fax

(315) 252-5179

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rayees Nizam, MDNPI 1154375087

Title

President

Phone

(315) 252-0810

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Rayees Nizam, MD

  • Gastroenterology Physician
  • Oswego, NY
  • NPI 1154375087
  NPD Authorized official
• Karysa N Humphrey, PNP

  • Pediatrics Physician
  • Auburn, NY
  • NPI 1730746546
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1336194265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-422-6705",
            "fax_number": "315-422-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON ST",
            "address_2": "SUITE 240",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211944",
            "telephone_number": "315-252-0810",
            "fax_number": "315-252-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "NIZAM",
        "authorized_official_first_name": "RAYEES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-252-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02974656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Clark
• Noah Clark, MS OTR/L
• Patricia Q Cleaver, SLP
• Cny Asthma & Allergy Consultants PC
• Cny Diagnostic & Anatomic Pathology
• James Brian Cogar, O.D.
• Mark Joel Cohen, MD
• Janet Cole
• Bonnie L Colella, LPN
• Patricia Coleman

• Gastroenterology Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.