Enid Goris, DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N005792 Issued in NY

Legal business name

ENID GORIS, DPM

Practice address

1605 Crosby Ave
Bronx, NY 10461-5236

Phone

(718) 863-7832

Fax

(718) 239-9989

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Enid Goris

Title

Podiatrist/Owner

Phone

(718) 863-7832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1376715607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CROSBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615236",
            "telephone_number": "718-863-7832",
            "fax_number": "718-239-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CROSBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615236",
            "telephone_number": "718-863-7832",
            "fax_number": "718-239-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID GORIS, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GORIS",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "718-863-7832",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N005792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.