Gotham Gastroenterology, PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

190910 Issued in NY

Legal business name

GOTHAM GASTROENTEROLOGY, PLLC

Practice address

535 5TH Ave
New York, NY 10017-3620

Phone

(212) 570-2075

NPI assigned

Apr 18, 2014

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.

Title

Medical Director

Phone

(212) 794-0240

Specialties & licenses 1

Addresses

Other names 1

• Digestive Disease Laboratory Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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"
        }
    ]
}

• Gotham City Podiatry, PLLC
• Gotham City Sports Medicine, PLLC
• Gotham Eye Center LLC
• Gotham Footcare
• Gotham Gastroenterology, PLLC
• 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.