Organization Active NPI

Vanguard Gastroenterology LLP

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1720639388
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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

Updated by the provider on Jul 13, 2023

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address vanguardgi@directaddress.net

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.