GASTROENTEROLOGY ASSOCIATES OF NORTHERN NEW YORK PC
NPI 1376583641
Internal Medicine - Gastroenterology in Glens Falls, NY

Active since June 07, 2006CLIA Certified · 2 labs
5 IRONGATE CENTER, GLENS FALLS, NY 12801(518) 793-5034(518) 793-2951 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gastroenterology Associates Of Northern New York Pc NPPES

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

GASTROENTEROLOGY ASSOCIATES OF NORTHERN NEW YORK PC (NPI 1376583641) is a healthcare organization registered as a gastroenterology in Glens Falls, New York and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Kevin J Herlihy, President, as its authorized official.

NPPES Registry Identity

NPI1376583641
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY ASSOCIATES OF NORTHERN NEW YORK PC
Location Address5 IRONGATE CENTERGlens Falls, NY 12801
Mailing Address5 Irongate CenterGlens Falls, NY 12801 · (518) 793-5034 · Fax (518) 793-2951
Fax(518) 793-2951
Organization SubpartNo
Authorized OfficialKevin J HerlihyPresident · (518) 793-5034
Enumeration DateJune 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376583641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5 IRONGATE CENTER, Glens Falls, NY 12801

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gastroenterology Associates Of Northern New York Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Gastroenterology Associates Of Northern New York PC, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Gastroenterology
NPI 1104189182
5 IRONGATE CTR
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1568467918
5 IRONGATE CTR
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1205831658
5 IRONGATE CTR
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1255305553
5 IRONGATE CTR
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1891790101
5 IRONGATE CTR
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1255838330
5 IRONGATE CTR
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1831553593
FIVE IRONGATE CENTER DEPT. OF MEDICINE
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1699404566
543 BAY RD
Queensbury, NY 12804
(518) 792-0994
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1003683335
5 IRONGATE CTR
Glens Falls, NY 12801
(518) 793-5034
✔ PECOS✔ Accepts Medicare2.8 mi

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 2

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 33D0943951

Gastroenterology Associates Of Northern Ny PC · Glens Falls, NY
Active · expires Apr 6, 2028
CLIA Number33D0943951
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorDr. Kevin J. Herlihy
Laboratory Phone(518) 793-5034
Laboratory LocationGastroenterology Associates Of Northern Ny PCFive Irongate Center, Glens Falls, NY 12801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D2349966

Gastroenterology Associates Of Northern Ny, PC · Glens Falls, NY
Active · expires Mar 26, 2027
CLIA Number33D2349966
Laboratory TypeIndependent
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorCalvin Strand
Laboratory Phone(518) 793-5034
Laboratory LocationGastroenterology Associates Of Northern Ny, PCFive Irongate Center, Ste B, Glens Falls, NY 12801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Gastroenterology Associates Of Northern New York PC's NPI number?

The NPI number for Gastroenterology Associates Of Northern New York PC is 1376583641. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Gastroenterology Associates Of Northern New York PC located?

Gastroenterology Associates Of Northern New York PC is located at 5 Irongate Center, Glens Falls, NY 12801. The listed phone number is (518) 793-5034.

What is Gastroenterology Associates Of Northern New York PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gastroenterology Associates Of Northern New York PC enrolled in Medicare?

Yes. Gastroenterology Associates Of Northern New York PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Associates Of Northern New York PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Gastroenterology Associates Of Northern New York 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. The largest specialties are Gastroenterology (6) and Nurse Practitioner (3). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gastroenterology Associates Of Northern New York PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gastroenterology Associates Of Northern New York PC 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 6 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.