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MANHATTAN COLORECTAL SURGEON
NPI 1336337252
Colon & Rectal Surgery in New York, NY

Active since October 04, 2007CLIA 33D0127005 · Waiver
515 MADISON AVE, SUITE 705, NEW YORK, NY 10022(212) 675-2997 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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, 2026 and lists Jason Penzer, Owner, as its authorized official.

NPPES Registry Identity

NPI1336337252
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameMANHATTAN COLORECTAL SURGEON
Location Address515 MADISON AVE, SUITE 705New York, NY 10022-5403
Mailing Address515 Madison Ave, Suite 705New York, NY 10022-5403 · (212) 675-2997
Phone(212) 675-2997
Organization SubpartNo
Authorized OfficialJason PenzerOwner · (212) 675-2997
Enumeration DateOctober 4, 2007
Last NPPES UpdateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1336337252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
515 MADISON AVE, New York, NY 10022
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, NY
Active · expires Aug 31, 2026
CLIA Number33D0127005
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Bruce S. Gingold
Laboratory Phone(212) 675-2997
Laboratory LocationManhattan Colorectal Surgeons LLC515 Madison Avenue, Suite 705, New York, NY 10022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. MARIS K MARGULIES PHD
Audiologist
515 MADISON AVE, SUITE 2302
NEW YORK, NY 10022
New York County (212) 755-5100
MADISON SURGICAL ASSOCIATES
Colon & Rectal Surgery
515 MADISON AVE, SUITE 705
NEW YORK, NY 10022
New York County (212) 675-2997
ALEXANDRA E LAMB LMSW
Social Worker
515 MADISON AVE
NEW YORK, NY 10022
New York County (253) 720-8203
DR. ALVIN TAPLIN BOYD DMD
Dentist (General Practice)
515 MADISON AVE, SUITE 1616
NEW YORK, NY 10022
New York County (212) 755-9055
MRS. LAUREEN VR SANCHEZ L.AC.,LMT
Acupuncturist
515 MADISON AVE, 3RD FLR
NEW YORK, NY 10022
New York County (917) 757-6950
TIMOTHY SAMUEL LOPRESTI BS, PA
Physician Assistant
515 MADISON AVE
NEW YORK, NY 10022
New York County (212) 758-3939
MADISON DENTAL GROUP PC
Dentist (General Practice)
515 MADISON AVE, SUITE 3900
NEW YORK, NY 10022
New York County (212) 935-9300
DR. NINA LISIN CHANG D.M.D.
Dentist (General Practice)
515 MADISON AVE, SUITE 1225
NEW YORK, NY 10022
New York County (212) 858-9266

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 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.

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, 2026. 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.