Makoto Iwahara, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

147656 Issued in NY

Legal business name

MAKOTO IWAHARA, MD, PC

Practice address

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

Phone

(212) 879-2328

Fax

(212) 879-1933

NPI assigned

Oct 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Makoto Iwahara, M.D.NPI 1366627143

Title

President

Phone

(212) 879-2328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Makoto Iwahara, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1366627143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1417040700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 79TH ST",
            "address_2": "SUITE 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",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750319",
            "telephone_number": "212-879-2328",
            "fax_number": "212-879-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKOTO IWAHARA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "IWAHARA",
        "authorized_official_first_name": "MAKOTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-879-2328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "147656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Makki
• Joseph Maklansky, M.D.
• Jessica Mako
• John James Makohen, CASAC
• Aditya Makol, M.D.
• Heather Makover, PHD
• Evguenia Makovkina, MD
• David Makowski, LP
• Michelle Makowski, PA
• Elizabeth Makris, MD

• 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 Feb 13, 2008; 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.