Organization Active NPI

Grand Central Medical P.C.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1447506225
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
145071 Issued in NY
Legal business name
GRAND CENTRAL MEDICAL P.C.
Practice address
18 E 41St St
Suite 406
New York, NY 10017-6222
Phone
(646) 692-4080
NPI assigned
Jul 30, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Ms. Hyounjoo Cho
Title
Manager
Phone
(917) 828-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 145071 NY Primary

Addresses

Primary practice location

18 E 41St St
Suite 406
New York, NY 10017-6222

Mailing address

18 E 41St St
Suite 406
New York, NY 10017-6222
Phone (646) 692-4080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1447506225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 41ST ST",
            "address_2": "SUITE 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176222",
            "telephone_number": "646-692-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 41ST ST",
            "address_2": "SUITE 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176222",
            "telephone_number": "646-692-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CENTRAL MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "HYOUNJOO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-828-5711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "145071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.