Gastroenterology of Westchester, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

161138B Issued in NY

Legal business name

GASTROENTEROLOGY OF WESTCHESTER, LLC

Doing business as

Gastroenterology of Westchester, LLC

Practice address

1086 N Broadway
Suite 50
Yonkers, NY 10701-1107

Phone

(914) 375-2751

Fax

(914) 375-2831

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jose Lantin, MDNPI 1770571135

Title

Ceo

Phone

(914) 391-1274

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GASTROENTEROLOGY OF WESTCHESTER, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Gastroenterology of Westchester LLCCCN 33C0001167

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Jose L Lantin, MD

  • Gastroenterology Physician
  • Yonkers, NY
  • NPI 1770571135
  NPD Authorized official
• Manuel Columbres, MD

  • Anesthesiology Physician
  • Yonkers, NY
  • NPI 1225020324
  NPD (past)
• Frederick S. Fallick, M.D.

  • Gastroenterology Physician
  • Harrison, NY
  • NPI 1053358689
  NPD (past)
• Liying Han, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Valhalla, NY
  • NPI 1750502589
  NPD (past)
• Markos I. Koutsos, M.D.

  • Specialist
  • Brooklyn, NY
  • NPI 1295818680
  NPD (past)
• Teresa Lantin, MD

  • Pediatrics Physician
  • Yonkers, NY
  • NPI 1386260586
  NPD (past)
• Jonathan Max Rieber, MD

  • Gastroenterology Physician
  • New York, NY
  • NPI 1023093721
  NPD (past)
• Vichai Sutanchaiyanont, MD

  • Anesthesiology Physician
  • Yonkers, NY
  • NPI 1669464764
  NPD (past)
• Zesong Zhang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1649522392
  NPD (past)
• Roy Gan, MD

  • Anesthesiology Physician
  • Hudson, FL
  • NPI 1851353270
  NPD (past)

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1407305063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105280788",
            "telephone_number": "914-391-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 N BROADWAY",
            "address_2": "SUITE 50",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011107",
            "telephone_number": "914-375-2751",
            "fax_number": "914-375-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF WESTCHESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "LANTIN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-391-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "161138B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF NEED: ARTICLE 28",
            "identifier": "CON: 161138B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GASTROENTEROLOGY OF WESTCHESTER, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisa Marcy Garza, FNP
• Katherin D. Garzon, NP
• Diane Gashi, MS, OTR/L
• Yesenia D. Gassman
• Gastroenterology of Westchester Obs LLC PLLC
• Denise Gauntlett
• Sobha D Gavani, M.D.
• Marvalyn Gayle - Muhammad
• Wesam Gbara
• Simon Victor Gedeon, D.M.D.

• Ambulatory Surgical Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.