Individual provider Active NPI

Jose A Goris, M.D.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1790714962
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
190663 Issued in NY
Practice address
435 Fort Washington Ave
Suite 1C
New York, NY 10033-3506
Phone
(212) 923-0408
Fax
(212) 923-4032
NPI assigned
Jul 1, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 190663 NY
General Practice Physician 208D00000X 190663 NY Primary

Addresses

Primary practice location

435 Fort Washington Ave
Suite 1C
New York, NY 10033-3506

Mailing address

435 Fort Washington Ave
Suite 1C
New York, NY 10033-3506
Phone (212) 923-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000664 NY Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal MedicinePractitioner - Pathology 2668537556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Best Care Ever Med Group, PCGroup PAC ID 5193906725, 3 clinicians
Jose a Goris MD PCGroup PAC ID 3870761745, 4 clinicians

Practice addresses (Care Compare)

3010 Grand Concourse
Apt L3
Bronx, NY 10458-1534
Phone (718) 220-2433

435 Fort Washington Ave
Apt 1C
New York, NY 10033-3527
Phone (212) 923-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jose a Goris, MD PC General Practice CurrentSince Jul 6, 2011 Accepting new patients
Best Care Ever Med Group, PC Anatomic Pathology & Clinical Pathology CurrentSince Nov 16, 2010 Accepting new patients
Jose Goris MD PC Past Accepting new patients
Best Care Ever I Inc General Practice Past Accepting new patients
Excelcium Med Group, PC Anatomic Pathology & Clinical Pathology PastSince Oct 1, 2008 Accepting new patients

Locations

3010 Grand Concourse
Apt L3
Bronx, NY 10458
Phone (718) 220-2433

3038 Grand Concourse
Bronx, NY 10458
Phone (718) 220-2433

435 Fort Washington Ave
Apt 1C
New York, NY 10033
Phone (212) 434-3420

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHBBD/Endpoint/CEHBBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICBJAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790714962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FORT WASHINGTON AVE",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333506",
            "telephone_number": "212-923-0408",
            "fax_number": "212-923-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FORT WASHINGTON AVE",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333506",
            "telephone_number": "212-923-0408",
            "fax_number": "212-923-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIS",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "190663",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "190663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.