Individual provider Active NPI

Guy Alexander Renvoize, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1902999287
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14471 Issued in NY
Practice address
161 W 15TH St Apt 2G
New York, NY 10011-6725
Phone
(646) 220-1820
NPI assigned
Oct 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 14471 NY Primary

Addresses

Primary practice location

161 W 15TH St Apt 2G
New York, NY 10011-6725

Mailing address

161 W 15TH St Apt 2G
New York, NY 10011-6725
Phone (646) 220-1820

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
I20080422000729 NY Practitioner - Gastroenterology 6002994662 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14471NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triborough Gi PLLC CurrentSince Sep 13, 2022 Accepting new patients
Triborough Gi PLLC Gastroenterology CurrentSince Sep 13, 2022 Accepting new patients

Locations

1672 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 795-2734

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.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1902999287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W 15TH ST APT 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116725",
            "telephone_number": "646-220-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W 15TH ST APT 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116725",
            "telephone_number": "646-220-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENVOIZE",
        "first_name": "GUY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "14471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.