Gi Diagnostics, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GI DIAGNOSTICS, LLC

Practice address

4805 NW 2ND Ave
Boca Raton, FL 33431-4141

Phone

(203) 988-0567

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Michael Harris NathansonNPI 1437132230

Title

Authorized Official

Phone

(561) 961-0208

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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

• Michael Harris Nathanson, MD

  • Gastroenterology Physician
  • New Haven, CT
  • NPI 1437132230

  FL

  Medicare reassignment Authorized official
• Vijay Venkata Adimoolam, MD

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1588693857

  FL

  Medicare reassignment
• Janylet De Jesus Dopico, APRN

  • Nurse Practitioner
  • New Haven, CT
  • NPI 1629950225

  FL

  Medicare reassignment

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1396500633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 NW 2ND AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314141",
            "telephone_number": "561-961-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 NW 2ND AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314141",
            "telephone_number": "203-988-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "NATHANSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-961-0208"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127362200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Habibollah Ghanavati, M.D.
• Paul Ghanem, PHARMD
• Gabriel Ghanoum, PSYD
• Fatima Ghazi
• Devon Roland Ghee, PHARM.D
• Gia Boca Raton, LLC
• Alycia Giambalvo, RRA
• Vanessa Giambroni, AA-C
• Abigail Christine Giancola, PMHNP-BC
• Laurie E. Gibbons, C.N.M.

• Gastroenterology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.