MAKOTO IWAHARA, MD, PC
NPI 1417040700
Specialist in New York, NY

Active since October 01, 2006
120 E 79TH ST, SUITE 1C, NEW YORK, NY 10075(212) 879-2328(212) 879-1933 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Makoto Iwahara, Md, Pc NPPES

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

MAKOTO IWAHARA, MD, PC (NPI 1417040700) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since October 2006. The organization lists Makoto Iwahara, President, as its authorized official.

NPPES Registry Identity

NPI1417040700
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMAKOTO IWAHARA, MD, PC
Location Address120 E 79TH ST, SUITE 1CNew York, NY 10075-0319
Mailing Address120 E 79th St, Suite 1cNew York, NY 10075-0319 · (212) 879-2328 · Fax (212) 879-1933
Fax(212) 879-1933
Organization SubpartNo
Authorized OfficialMakoto IwaharaPresident · (212) 879-2328
Enumeration DateOctober 1, 2006
Last NPPES UpdateFebruary 13, 2008
NPI 1417040700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 147656
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.
120 E 79TH ST, New York, NY 10075

Other Identifiers 2

Medicare PINWZTZR1NY
Medicare UPINB14383

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 3

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

Anesthesiology
120 E 79TH ST
NEW YORK, NY 10075
Internal Medicine (Gastroenterology)
120 E 79TH ST, SUITE 1C
NEW YORK, NY 10075
Specialist
120 E 79TH ST, 1C
NEW YORK, NY 10075

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 Makoto Iwahara, MD, PC's NPI number?

The NPI number for Makoto Iwahara, MD, PC is 1417040700. It was assigned to this organization in the NPPES registry on October 1, 2006.

Where is Makoto Iwahara, MD, PC located?

Makoto Iwahara, MD, PC is located at 120 E 79th St Suite 1C, New York, NY 10075. The listed phone number is (212) 879-2328.

What is Makoto Iwahara, MD, PC'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 Makoto Iwahara, MD, PC was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.