Gastroenterology Associates of Northern New York PC
Organization Active NPI Gastroenterology Physician · Glens Falls, NY
NPI 1376583641 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376583641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- GASTROENTEROLOGY ASSOCIATES OF NORTHERN NEW YORK PC
- Practice address
- 5 Irongate Center
Glens Falls, NY 12801 - Phone
- (518) 793-5034
- Fax
- (518) 793-2951
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin J Herlihy, MD
- Title
- President
- Phone
- (518) 793-5034
Practitioners 11
-
Ovais Ahmed, M.D.
-
William Bauer, MD
-
Michael Chase, MD
-
John Coombes, MD
-
Kevin J Herlihy, MD
-
Sheryl Munchbach, FNP-BC
-
Whitney Taylor Sciulli, FNP-BC
-
Brittany Smith, ANP
-
Mary Strader, MD
-
Kelly A Knill, RPA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041116000388 | NY | Part B Supplier - Clinic/Group Practice | 9032173430 |
Receives reassigned benefits from 11 practitioners Practice locations: Fort Edward, NY; Glens Falls, NY |
National Provider Directory
Locations
1391 Route 9
Fort Edward, NY 12828
Phone (518) 793-0891
5 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 745-5423
6 Carpenter Ln
Saratoga Springs, NY 12866
Phone (518) 583-0020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
5 Irongate Center
Glens Falls, NY 12801
Mailing address
5 Irongate Center
Glens Falls, NY 12801
Phone (518) 793-5034
Other providers in Glens Falls, NY
- Juan Carlos Garcia
- Andrew W. Garner
- Giovanna Garner
- Richard D. Garrett Jr.
- Jessica Garrone
- Gastroenterology Associates of Northern New York, PC
- Laurie A Gates
- Melissa A Gates
- Gateway Dermatology, P.C.
- Nicole Marie Gauger
All providers in Glens Falls, NY · Gastroenterology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.