Iwahara Endoscopy, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IWAHARA ENDOSCOPY, PLLC

Practice address

120 E 79TH St Ofc 1C
New York, NY 10075-0319

Phone

(212) 879-2328

Fax

(212) 879-1933

NPI assigned

Jun 8, 2010

Last updated

Jun 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Makoto IwaharaNPI 1366627143

Title

Ceo/President

Phone

(212) 879-2328

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Makoto Iwahara, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1366627143
  Authorized official Same address or phone

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1386964849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 79TH ST OFC 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750319",
            "telephone_number": "212-879-2328",
            "fax_number": "212-879-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 79TH ST OFC 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750319",
            "telephone_number": "212-879-2328",
            "fax_number": "212-879-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWAHARA ENDOSCOPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "IWAHARA",
        "authorized_official_first_name": "MAKOTO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "212-879-2328",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF, INC.",
            "identifier": "3368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivy Medical Group PLLC
• Ivy Psychotherapy LCSW P.L.L.C.
• Ivy Yuqing Zhang LCSW, P.C.
• Kendra Ivy, LMSW
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC
• Makoto Iwahara, M.D.
• Yoko Kathleen Iwaki, PH.D., MHC-LP
• Julia T Iwamasa, MD
• Iwant2020 Com Inc (Park Avenue LASEK)
• Judy Marilyn Iwaoka, MS PT

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.