Organization Active NPI

New York Gastroenterology Associates LLP

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1356428387
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NEW YORK GASTROENTEROLOGY ASSOCIATES LLP
Practice address
311 E 79TH St
Suite 2a
New York, NY 10021-0903
Phone
(212) 996-6633
Fax
(212) 996-6677
NPI assigned
Nov 1, 2006
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Mary Ryan
Title
Billing Director
Phone
(718) 639-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NY Primary

Addresses

Primary practice location

311 E 79TH St
Suite 2a
New York, NY 10021-0903

Mailing address

PO Box 780217
Maspeth, NY 11378-0217
Phone (718) 639-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080808000726 NY Part B Supplier - Clinic/Group Practice 8224929302 Receives reassigned benefits from 30 practitioners
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

32 Court St
Ste 1407
Brooklyn, NY 11201

16 E 52nd St
Ste 403
New York, NY 10022
Phone (212) 826-3903

311 E 79th St
New York, NY 10075
Phone (212) 831-5500

311 E 79th St
#2A
New York, NY 10075
Phone (212) 996-6633

60 E 56th St
Fl 7
New York, NY 10022
Phone (212) 326-8999

620 Columbus Ave
New York, NY 10024
Phone (212) 580-3866

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1356428387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780217",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113780217",
            "telephone_number": "718-639-8827",
            "fax_number": "718-639-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 79TH ST",
            "address_2": "SUITE 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210903",
            "telephone_number": "212-996-6633",
            "fax_number": "212-996-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK GASTROENTEROLOGY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "718-639-8827"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": null,
            "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 May 9, 2023; 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.