Gastroenterology & Nutrition, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

229243 Issued in NY

Legal business name

GASTROENTEROLOGY & NUTRITION, PC

Practice address

10816 72ND Ave
2 Floor
Forest Hills, NY 11375-5653

Phone

(718) 261-0900

Fax

(718) 261-0944

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Davidoff, MDNPI 1922055276

Title

Officer

Phone

(718) 261-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Samuel Davidoff, MD

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1922055276
  Medicare reassignment Care Compare group Authorized official
• Yuriy Israel

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1154563682
  Medicare reassignment Care Compare group
• Miroslav Rade Radevic, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1275779894

  NY

  Medicare reassignment Care Compare group
• Vyacheslav Fattakhov, M.D

  • Anesthesiology Physician
  • Roslyn Heights, NY
  • NPI 1952395303
  Medicare reassignment
• Artur Kaykov

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1548970502
  Medicare reassignment
• Emanuel Yaakobov, FNP

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1194319087
  Medicare reassignment

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1427214949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 72ND AVE",
            "address_2": "2 FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755653",
            "telephone_number": "718-261-0900",
            "fax_number": "718-261-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 72ND AVE",
            "address_2": "2 FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755653",
            "telephone_number": "718-261-0900",
            "fax_number": "718-261-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & NUTRITION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-261-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "229243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922055276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Gasalberti, MD
• Tyisha Gaskin
• Garik Gasparyan, MD
• Gastro 2020 PLLC
• Gastroenterology & Liver Disease, PC
• Fatima Gaton
• Israel Gavrielov
• Linda Gavrielov, RD
• Frederick Gay
• Farhad Mohammad Gazi, MD

• Gastroenterology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.