436 GWB MEDICAL OFFICE PC
NPI 1366952913
General Practice in New York, NY
About 436 Gwb Medical Office Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
436 GWB MEDICAL OFFICE PC (NPI 1366952913) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since October 2017. The organization lists Jose A Goris, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
436 Gwb Medical Office Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to 436 Gwb Medical Office PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 436 Gwb Medical Office PC's NPI number?
The NPI number for 436 Gwb Medical Office PC is 1366952913. It was assigned to this organization in the NPPES registry on October 10, 2017.
Where is 436 Gwb Medical Office PC located?
436 Gwb Medical Office PC is located at 436 Fort Washington Ave Apt 1A, New York, NY 10033. The listed phone number is (212) 923-0408.
What is 436 Gwb Medical Office PC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is 436 Gwb Medical Office PC enrolled in Medicare?
Yes. 436 Gwb Medical Office PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 436 Gwb Medical Office PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to 436 Gwb Medical Office PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 436 Gwb Medical Office PC was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# 436 Gwb Medical Office Pc · NPI 1366952913
General Practice organization in New York, New York. Organization record, active in the CMS NPPES registry since October 10, 2017.
## Identity
- **NPI:** 1366952913 (Entity type: Organization)
- **Enumerated:** October 10, 2017
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Jose Goris, MD
## Practice location
- **Address:** 436 FORT WASHINGTON AVE APT 1A, New York, NY 10033-3533
- **Phone:** (212) 923-0408 · **Fax:** (212) 923-7051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2017
- **Other identifiers:** Medicaid 01740610 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1366952913) · Data from the CMS NPPES public registry.