Individual provider Active NPI

Amnon Gotian, M.D.

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1841370871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
211570 Issued in NY
Practice address
3333 Henry Hudson Pkwy
Suite 1
Bronx, NY 10463-3224
Phone
(718) 796-1000
Fax
(718) 796-2124
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 211570 NY Primary

Addresses

Primary practice location

3333 Henry Hudson Pkwy
Suite 1
Bronx, NY 10463-3224

Mailing address

3333 Henry Hudson Pkwy
Suite 1
Bronx, NY 10463-3224
Phone (718) 796-1000

Other identifiers 1

IdentifierTypeStateIssuer
02362210MedicaidNY

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
I20110729000000 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 5395913933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Liver Associates of Riverdale PCGroup PAC ID 1456529098, 6 clinicians

Practice addresses (Care Compare)

3333 Henry Hudson Pkwy
Bronx, NY 10463-3224
Phone (718) 796-1000

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy211
Upper gastrointestinal (GI) endoscopy for acid reflux135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211570NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology and Liver Associates of Riverdale PC Gastroenterology CurrentSince Jun 20, 2011 Accepting new patients
Kidney Medical Associates PLLC PastSince Aug 28, 2025 Accepting new patients

Locations

3333 Henry Hudson Pkwy
Ste 1
Bronx, NY 10463
Phone (718) 796-1000

3184 Grand Concourse
Apt 2D
Bronx, NY 10458
Phone (646) 389-8369

Networks

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

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841370871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "SUITE 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "718-796-1000",
            "fax_number": "718-796-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "SUITE 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "718-796-1000",
            "fax_number": "718-796-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTIAN",
        "first_name": "AMNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "211570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02362210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.