Organization Active NPI

Five Borough Gastroenterology Medical PLLC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1811455801
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FIVE BOROUGH GASTROENTEROLOGY MEDICAL PLLC
Practice address
340 W 86TH St Apt 1a
New York, NY 10024-3274
Phone
(516) 902-7501
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Dr. Charles Oliner, MDNPI 1740449313
Title
Gastroenterologist
Phone
(516) 902-7501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

340 W 86TH St Apt 1a
New York, NY 10024-3274

Mailing address

340 W 86TH St Apt 1a
New York, NY 10024-3274

Other practice location 1

250 Park Ave S Fl 8
New York, NY 10003-1402
Phone (646) 979-3237

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1811455801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 86TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 86TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243274",
            "telephone_number": "516-902-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Park Ave S Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031402",
            "country_code": "US",
            "telephone_number": "646-979-3237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIVE BOROUGH GASTROENTEROLOGY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "OLINER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "516-902-7501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 8, 2019; 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.