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EAST SIDE GASTROENTEROLOGY, P.C.
NPI 1295958841
Specialist in New York, NY

Active since April 11, 2007
111 E 80TH ST, 1C, NEW YORK, NY 10021(212) 734-5533(212) 717-1688 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Side Gastroenterology, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST SIDE GASTROENTEROLOGY, P.C. (NPI 1295958841) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since April 2007. The organization lists Shanta Liverman, Assistant, as its authorized official.

NPPES Registry Identity

NPI1295958841
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAST SIDE GASTROENTEROLOGY, P.C.
Location Address111 E 80TH ST, 1CNew York, NY 10021-0334
Mailing Address111 E 80th St, 1cNew York, NY 10021-0334 · (212) 734-5533 · Fax (212) 717-1688
Phone(212) 734-5533
Fax(212) 717-1688
Organization SubpartNo
Authorized OfficialShanta LivermanAssistant · (212) 734-5533
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295958841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 147236
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
111 E 80TH ST, New York, NY 10021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN WAYSEN WONG MD
Psychiatry & Neurology (Psychiatry)
111 E 80TH ST, 1D
NEW YORK, NY 10021
New York County (212) 879-6406
ELLEN MARY ROONEY M.D.
Internal Medicine
111 E 80TH ST
NEW YORK, NY 10021
New York County (212) 734-5533
MICHAEL PETER KRUMHOLZ M.D.
Internal Medicine (Gastroenterology)
111 E 80TH ST
NEW YORK, NY 10021
New York County (212) 734-5533
DR. NICOLE REGENT M.D.
Psychiatry & Neurology (Psychiatry)
111 E 80TH ST, LOBBY SUITE 1D
NEW YORK, NY 10021
New York County (212) 737-0709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Side Gastroenterology, P.C.'s NPI number?

The NPI number for East Side Gastroenterology, P.C. is 1295958841. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is East Side Gastroenterology, P.C. located?

East Side Gastroenterology, P.C. is located at 111 E 80th St 1C, New York, NY 10021. The listed phone number is (212) 734-5533.

What is East Side Gastroenterology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for East Side Gastroenterology, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.