| Memorial Gastroenterology Group | |
|
1275 York Ave New York NY 10021-6007 | |
| (212) 639-2000 | |
| Not Available |
| Full Name | Memorial Gastroenterology Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1275 York Ave, New York, New York |
| Authorized Official Name and Position | Salvatore M Andreozzi (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 6462273751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Gastroenterology Group 633 3rd Ave Box 3 New York NY 10017-6706 Ph: () - | Memorial Gastroenterology Group 1275 York Ave New York NY 10021-6007 Ph: (212) 639-2000 |
| NPI Number | 1629049192 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 04/13/2008 |
| Medicare PECOS PAC ID | 0941199210 |
|---|---|
| Medicare Enrollment ID | O20040313000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629049192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Maya Gambarin Gelwan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932144730 PECOS PAC ID: 0840233961 Enrollment ID: I20050608001136 |
| Provider Name | Emmy Ludwig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386750842 PECOS PAC ID: 4385649060 Enrollment ID: I20061002000607 |
| Provider Name | Robin B Mendelsohn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255500153 PECOS PAC ID: 1355420704 Enrollment ID: I20080509000370 |
| Provider Name | Moshe Shike |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073584942 PECOS PAC ID: 9638201460 Enrollment ID: I20100714000802 |
| Provider Name | Mark A Schattner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063483907 PECOS PAC ID: 9335271873 Enrollment ID: I20100719000305 |
| Provider Name | Arnold J Markowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770683286 PECOS PAC ID: 4385776822 Enrollment ID: I20100719000362 |
| Provider Name | Hans Gerdes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437121217 PECOS PAC ID: 0244355055 Enrollment ID: I20100916001277 |
| Provider Name | Pari M Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821152943 PECOS PAC ID: 7416135264 Enrollment ID: I20121018000657 |
| Provider Name | Smrita Sinha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184872848 PECOS PAC ID: 6204071806 Enrollment ID: I20140912001222 |
| Provider Name | Delia Calo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578722518 PECOS PAC ID: 9133348378 Enrollment ID: I20140919001491 |
| Provider Name | Jaclyn D Newfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912395088 PECOS PAC ID: 8224345178 Enrollment ID: I20150910000147 |
| Provider Name | Leslie A Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649531781 PECOS PAC ID: 5890003958 Enrollment ID: I20151009001037 |
| Provider Name | Nicole L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568702801 PECOS PAC ID: 4385931997 Enrollment ID: I20160926001882 |
| Provider Name | Robert Isokari Okolie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083857882 PECOS PAC ID: 8224265988 Enrollment ID: I20180620000319 |
| Provider Name | Alexis S Lorge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508252081 PECOS PAC ID: 9537479852 Enrollment ID: I20180620002666 |
| Provider Name | Jeana Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205265030 PECOS PAC ID: 4880816149 Enrollment ID: I20180621000675 |
| Provider Name | Makoto Nishimura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083105290 PECOS PAC ID: 2860741360 Enrollment ID: I20180816001364 |
| Provider Name | David M Faleck |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255607669 PECOS PAC ID: 5092064105 Enrollment ID: I20180823000818 |
| Provider Name | Vineet S Rolston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376801811 PECOS PAC ID: 2365753043 Enrollment ID: I20190705000608 |
| Provider Name | Alexandra I Valles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982257705 PECOS PAC ID: 9830521335 Enrollment ID: I20191122000117 |
| Provider Name | Mila Rose A Villaceran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528616885 PECOS PAC ID: 1557797289 Enrollment ID: I20200128002917 |
| Provider Name | Emily Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548818198 PECOS PAC ID: 1951738921 Enrollment ID: I20200304000617 |
| Provider Name | Cristina Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380655 PECOS PAC ID: 0941638019 Enrollment ID: I20200324001310 |
| Provider Name | Monika Laszkowska |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023437357 PECOS PAC ID: 7012337223 Enrollment ID: I20201008002609 |
| Provider Name | Alison C O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437764545 PECOS PAC ID: 2163836693 Enrollment ID: I20210125002393 |
| Provider Name | Rachel E Niec |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801281167 PECOS PAC ID: 9931501145 Enrollment ID: I20210712000363 |
| Provider Name | Hassan Azhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033729629 PECOS PAC ID: 2163841917 Enrollment ID: I20211026001685 |
| Provider Name | Jacques C Beauvais |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326433830 PECOS PAC ID: 0749527471 Enrollment ID: I20221128000036 |
| Provider Name | Michelle A Sottile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538896543 PECOS PAC ID: 8325410103 Enrollment ID: I20230203000387 |
| Provider Name | Seung Eun Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104321652 PECOS PAC ID: 4587900352 Enrollment ID: I20250512001094 |
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 | |
Upper West Side Family Medical Practice 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 |