Active NPI
Vanguard Gastroenterology LLP
- Gastroenterology Physician
- New York, NY
National Provider Identifier
1720639388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- VANGUARD GASTROENTEROLOGY LLP
- Practice address
- 233 Broadway RM 2750
New York, NY 10279-2704 - Phone
- (212) 889-5544
- Fax
- (212) 481-1089
- NPI assigned
- Sep 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Yakutilova
- Title
- Manager
- Phone
- (212) 889-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
233 Broadway RM 2750
New York, NY 10279-2704
Mailing address
232 E 30TH St
New York, NY 10016-8202
Phone (212) 725-6768
Other practice location 1
36 E 31st St Rm 701
New York, NY 10016-6821
Phone (212) 889-5544
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vanguardgi@directaddress.net |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689206400000",
"number": "1720639388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 E 30TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168202",
"telephone_number": "212-725-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 BROADWAY RM 2750",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102792704",
"telephone_number": "212-889-5544",
"fax_number": "212-481-1089"
}
],
"practiceLocations": [
{
"address_1": "36 E 31st St Rm 701",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166821",
"country_code": "US",
"telephone_number": "212-889-5544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VANGUARD GASTROENTEROLOGY LLP",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-25",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A",
"authorized_official_last_name": "YAKUTILOVA",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "212-889-5544"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vanguardgi@directaddress.net",
"affiliation": "N",
"address_1": "233 Broadway Rm 2750",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "102792704",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.