Organization Active NPI

Manhattan Gastroenterology Associates PC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1477748812
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
129665 Issued in NY
Legal business name
MANHATTAN GASTROENTEROLOGY ASSOCIATES PC
Practice address
4915 Broadway
Suite 1B
New York, NY 10034-3119
Phone
(212) 567-9580
Fax
(212) 567-9582
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Dr. Tthomas Gould, M.D.
Title
President
Phone
(212) 567-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 129665 NY Primary

Addresses

Primary practice location

4915 Broadway
Suite 1B
New York, NY 10034-3119

Mailing address

4915 Broadway
Suite 1B
New York, NY 10034-3119
Phone (212) 567-9580

National Provider Directory

National Provider Directory

Locations

4915 Broadway
Apt 1B
New York, NY 10034
Phone (212) 567-9580

639 W 185th St
New York, NY 10033
Phone (212) 568-6156

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1477748812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 BROADWAY",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343119",
            "telephone_number": "212-567-9580",
            "fax_number": "212-567-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 BROADWAY",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343119",
            "telephone_number": "212-567-9580",
            "fax_number": "212-567-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "TTHOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-567-9580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "129665",
            "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 Aug 21, 2015; 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.