Gotham Gastroenterology, PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

190910 Issued in NY

Legal business name

GOTHAM GASTROENTEROLOGY, PLLC

Doing business as

Digestive Disease Laboratory

Practice address

535 5TH Ave
New York, NY 10017-3620

Phone

(212) 570-2075

NPI assigned

Apr 18, 2014

Last updated

Apr 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter S Kim, M.D.NPI 1235157017

Title

Medical Director

Phone

(212) 794-0240

Specialties & licenses 1

Addresses

Other names 1

• Digestive Disease Laboratory Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter S. Kim, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1235157017
  Authorized official Same address or phone
• Alexander Filatov, MD

  • Anatomic Pathology Physician
  • Berkeley Heights, NJ
  • NPI 1619049780
  NPD

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1750701611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173620",
            "telephone_number": "212-570-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-794-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "190910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Disease Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gotham Integrative Acupuncture and Wellness PLLC
• Gotham Lasik Vision
• Gotham Medical Associates, PLLC
• Gotham Medical Group LLP
• Gotham Pediatrics, PC

• Clinical Medical Laboratory in New York, NY
• Providers in New York, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.