NPIMap

Organization Active NPI

Twin Rivers Gastroenterology, LLP

  • Gastroenterology Physician
  • Port Jervis, NY
National Provider Identifier
1497872162
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
137214 Issued in NY
Legal business name
TWIN RIVERS GASTROENTEROLOGY, LLP
Practice address
56 Church St # 58
Port Jervis, NY 12771-2017
Phone
(845) 856-4346
Fax
(845) 856-0587
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
David Harold Brody, M.D.NPI 1053377440
Title
Owner
Phone
(845) 856-4346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 137214 NY Primary

Addresses

Primary practice location

56 Church St # 58
Port Jervis, NY 12771-2017

Mailing address

56-58 Church Street
Port Jervis, NY 12771
Phone (845) 856-4346

National Provider Directory

National Provider Directory

Locations

56 Church St
#58
Port Jervis, NY 12771
Phone (845) 856-4346

Practitioners & affiliated clinicians

Practitioners 2

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1497872162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-58 CHURCH STREET",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "12771",
            "telephone_number": "845-856-4346",
            "fax_number": "845-856-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CHURCH ST # 58",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712017",
            "telephone_number": "845-856-4346",
            "fax_number": "845-856-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS GASTROENTEROLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-856-4346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "137214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.