Kazbay Medical PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

KAZBAY MEDICAL PLLC

Practice address

83 Salierno Rd
Tuxedo Park, NY 10987-4712

Phone

(646) 745-4150

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Steven Smith

Title

Manager

Phone

(502) 244-9859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1619586419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SALIERNO RD",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874712",
            "telephone_number": "646-745-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SALIERNO RD",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874712",
            "telephone_number": "646-745-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZBAY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-244-9859"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarina Wasserman Gwirtzman, MA-CCC-SLP
• Miriam Hatenboer-Zehavi, LCSW
• Nasreen Kabeer, MD
• Sarfaraz Kabeer, M.D.
• Virginia Theresa Kaiser, PH.D, M.S.W.
• Evan Kugel, DPT
• Brandon Labar, LMHC
• Garrett S. Lasalle, M.D.
• Liza Mammato
• Dana J Manzella

• Gastroenterology Physician in Tuxedo Park, NY
• Providers in Tuxedo Park, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.