Manhattan Colorectal Surgeon

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

MANHATTAN COLORECTAL SURGEON

Practice address

515 Madison Ave
Suite 705
New York, NY 10022-5403

Phone

(212) 675-2997

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Jason Penzer, MDNPI 1548245319

Title

Owner

Phone

(212) 675-2997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Manhattan Colorectal Surgeon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Manhattan Colorectal Surgeons

  • Colon & Rectal Surgery Physician
  • New York, NY
  • NPI 1508833070
  NPD tax ID

Practitioners 3

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

• Jason Penzer, MD

  • Colon & Rectal Surgery Physician
  • New York, NY
  • NPI 1548245319
  Medicare reassignment Care Compare group Authorized official
• Parswa Ansari, M.D.

  • Surgery Physician
  • New York, NY
  • NPI 1083786594
  Medicare reassignment Care Compare group
• Bruce Gingold, MD

  • Colon & Rectal Surgery Physician
  • New York, NY
  • NPI 1730169889
  Medicare reassignment

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1336337252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "SUITE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-675-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "SUITE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-675-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN COLORECTAL SURGEON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "PENZER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-675-2997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manhattan Chinatown Pharmacy Inc
• Manhattan Chiropractic P.C.
• Manhattan Clinical Associates PC
• Manhattan Cognitive Psychological Therapy Consultants, P.C.
• Manhattan Cognitive-Behavioral Therapy/Psychology, PLLC
• Manhattan Colorectal Surgeons
• Manhattan Colorectal Surgical Unit
• Manhattan Comprehensive Ear Medicine, PLLC
• Manhattan Comprehensive Medical Care
• Manhattan Comprehensive Medical Care

• Colon & Rectal Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.