NPIMap

Organization Active NPI

Gastroenterology and Liver Disease of the Bronx, P.C.

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1508052846
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY AND LIVER DISEASE OF THE BRONX, P.C.
Practice address
1180 Morris Park Ave
3Rd Floor
Bronx, NY 10461-1925
Phone
(718) 879-6600
Fax
(718) 892-6594
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Mark I. Rubin, M.D.
Title
President
Phone
(718) 879-6600

Specialties & licenses 1

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

Addresses

Primary practice location

1180 Morris Park Ave
3Rd Floor
Bronx, NY 10461-1925

Mailing address

1180 Morris Park Ave
3Rd Floor
Bronx, NY 10461-1925
Phone (718) 879-6600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508052846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MORRIS PARK AVE",
            "address_2": "3RD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611925",
            "telephone_number": "718-879-6600",
            "fax_number": "718-892-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MORRIS PARK AVE",
            "address_2": "3RD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611925",
            "telephone_number": "718-879-6600",
            "fax_number": "718-892-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND LIVER DISEASE OF THE BRONX, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-879-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.