NPIMap

Organization Active NPI

Isadore P Gutwein MD & Robert a Sable MD PC

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1376620476
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
121055 Issued in NY
Legal business name
ISADORE P GUTWEIN MD & ROBERT A SABLE MD PC
Practice address
3765 Riverdale Ave
Suite #7
Bronx, NY 10463-1845
Phone
(718) 549-4267
Fax
(718) 884-4885
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Isadore P Gutwein, MDNPI 1053306480
Title
President
Phone
(718) 549-4267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 121055 NY Primary

Addresses

Primary practice location

3765 Riverdale Ave
Suite #7
Bronx, NY 10463-1845

Mailing address

3765 Riverdale Ave
Suite #7
Bronx, NY 10463-1845
Phone (718) 549-4267

Other identifiers 2

IdentifierTypeStateIssuer
33D0136726OtherNYCLIA
00631576MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000126 NY Part B Supplier - Clinic/Group Practice 4183513591 Receives reassigned benefits from 8 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

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": "1362441600000",
    "number": "1376620476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "address_2": "SUITE #7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-549-4267",
            "fax_number": "718-884-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 RIVERDALE AVE",
            "address_2": "SUITE #7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631845",
            "telephone_number": "718-549-4267",
            "fax_number": "718-884-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISADORE P GUTWEIN MD & ROBERT A SABLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "GUTWEIN",
        "authorized_official_first_name": "ISADORE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-549-4267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "121055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D0136726",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00631576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.