| Gotham Gastroenterology, Pllc | |
|
1317 3rd Ave New York NY 10021-2995 | |
| (212) 794-0240 | |
| (212) 570-2038 |
| Full Name | Gotham Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1317 3rd Ave, New York, New York |
| Authorized Official Name and Position | Peter Sungwon Kim (PARTNER) |
| Authorized Official Contact | 2127940240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gotham Gastroenterology, Pllc 1317 3rd Ave New York NY 10021-2995 Ph: (212) 794-0240 | Gotham Gastroenterology, Pllc 1317 3rd Ave New York NY 10021-2995 Ph: (212) 794-0240 |
| NPI Number | 1659698116 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Medicare PECOS PAC ID | 0941334395 |
|---|---|
| Medicare Enrollment ID | O20100820000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659698116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 190910 (New York) | Primary |
| Provider Name | Peter S Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235157017 PECOS PAC ID: 6507818754 Enrollment ID: I20050215001113 |
| Provider Name | Anthony S Borcich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164599627 PECOS PAC ID: 1254434897 Enrollment ID: I20070320000084 |
| Provider Name | Rebekah G Gross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497922686 PECOS PAC ID: 4486727070 Enrollment ID: I20080715000462 |
| Provider Name | Veronika Dubrovskaya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952559965 PECOS PAC ID: 2264599471 Enrollment ID: I20090316000000 |
| Provider Name | Julie A Foont |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235335308 PECOS PAC ID: 2860671609 Enrollment ID: I20110125000875 |
| Provider Name | Michael Glick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659532802 PECOS PAC ID: 7416173646 Enrollment ID: I20140724001588 |
| Provider Name | Valerie Antoine-gustave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750548269 PECOS PAC ID: 1850519257 Enrollment ID: I20140827000336 |
| Provider Name | Martin J Wolff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164666244 PECOS PAC ID: 4981916269 Enrollment ID: I20150629001813 |
| Provider Name | Neal Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568606218 PECOS PAC ID: 0042527277 Enrollment ID: I20150921000342 |
| Provider Name | Leslie A Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649531781 PECOS PAC ID: 5890003958 Enrollment ID: I20151009001037 |
| Provider Name | Deborah L Chua |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629237607 PECOS PAC ID: 0042511404 Enrollment ID: I20151209001769 |
| Provider Name | Daniel Motola |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245499821 PECOS PAC ID: 2062679418 Enrollment ID: I20160421001508 |
| Provider Name | Kati S Glockenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477852820 PECOS PAC ID: 2163795220 Enrollment ID: I20170912001534 |
| Provider Name | James A Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124389267 PECOS PAC ID: 7517216021 Enrollment ID: I20180816001689 |
| Provider Name | Max Steven Pitman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932466026 PECOS PAC ID: 1153671813 Enrollment ID: I20180830002115 |
| Provider Name | Jessica Natalie Kimmel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144562331 PECOS PAC ID: 7012211972 Enrollment ID: I20190716002140 |
| Provider Name | Matthew B Mcneill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043655921 PECOS PAC ID: 3678992534 Enrollment ID: I20200928001260 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |