MANHATTAN COLORECTAL SURGEON
NPI 1336337252
Colon & Rectal Surgery in New York, NY
About Manhattan Colorectal Surgeon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANHATTAN COLORECTAL SURGEON (NPI 1336337252) is a healthcare organization registered as a colon & rectal surgery in New York, New York and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Jason Penzer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manhattan Colorectal Surgeon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Manhattan Colorectal Surgeon, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0127005
Manhattan Colorectal Surgeons LLC · New York, NYFrequently 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 Manhattan Colorectal Surgeon's NPI number?
The NPI number for Manhattan Colorectal Surgeon is 1336337252. It was assigned to this organization in the NPPES registry on October 4, 2007.
Where is Manhattan Colorectal Surgeon located?
Manhattan Colorectal Surgeon is located at 515 Madison Ave Suite 705, New York, NY 10022. The listed phone number is (212) 675-2997.
What is Manhattan Colorectal Surgeon's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Manhattan Colorectal Surgeon enrolled in Medicare?
Yes. Manhattan Colorectal Surgeon is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Manhattan Colorectal Surgeon?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Colorectal Surgery (Proctology), reassign their Medicare billing to Manhattan Colorectal Surgeon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Manhattan Colorectal Surgeon hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0127005) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Manhattan Colorectal Surgeon was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Manhattan Colorectal Surgeon · NPI 1336337252
Colon & Rectal Surgery organization in New York, New York. Organization record, active in the CMS NPPES registry since October 4, 2007.
## Identity
- **NPI:** 1336337252 (Entity type: Organization)
- **Enumerated:** October 4, 2007
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **Organization subpart:** No
- **Authorized official:** Jason Penzer, OWNER
## Practice location
- **Address:** 515 MADISON AVE, SUITE 705, New York, NY 10022-5403
- **Phone:** (212) 675-2997
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Colorectal Surgery (Proctology)) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336337252) · Data from the CMS NPPES public registry.