Organization Active NPI

Gina Sam MD MPH PC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1578042446
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
240112 Issued in NY
Legal business name
GINA SAM MD MPH PC
Practice address
800 2ND Ave
New York, NY 10017-4709
Phone
(648) 877-3220
Fax
(516) 706-2150
NPI assigned
Aug 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
Gina Sam, MD
Title
Owner
Phone
(648) 877-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 240112 NY Primary

Addresses

Primary practice location

800 2ND Ave
New York, NY 10017-4709

Mailing address

800 2ND Ave
New York, NY 10017-4709
Phone (648) 877-3220

National Provider Directory

National Provider Directory

Locations

30 E 40th St
Rm 302
New York, NY 10016
Phone (212) 683-2990

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1578042446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "648-877-3220",
            "fax_number": "516-706-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "648-877-3220",
            "fax_number": "516-706-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA SAM MD MPH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "648-877-3220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "240112",
            "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 10, 2018; 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.