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GASTROENTEROLOGY & NUTRITION, PC
NPI 1427214949
Internal Medicine - Gastroenterology in Forest Hills, NY

Active since August 04, 2008CLIA 33D2057048 · Certificate of Compliance
10816 72ND AVE, 2 FLOOR, FOREST HILLS, NY 11375(718) 261-0900(718) 261-0944 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gastroenterology & Nutrition, Pc NPPES

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

GASTROENTEROLOGY & NUTRITION, PC (NPI 1427214949) is a healthcare organization registered as a gastroenterology in Forest Hills, New York and active in the NPI registry since August 2008. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Samuel Davidoff, Officer, as its authorized official.

NPPES Registry Identity

NPI1427214949
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY & NUTRITION, PC
Location Address10816 72ND AVE, 2 FLOORForest Hills, NY 11375-5653
Mailing Address10816 72nd Ave, 2 FloorForest Hills, NY 11375-5653 · (718) 261-0900 · Fax (718) 261-0944
Phone(718) 261-0900
Fax(718) 261-0944
Organization SubpartNo
Authorized OfficialSamuel DavidoffOfficer · (718) 261-0900
Enumeration DateAugust 4, 2008
Last NPPES UpdateOctober 12, 2012
✔ NPI 1427214949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 229243
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.
10816 72ND AVE, Forest Hills, NY 11375
Open in Google Maps ↗

Other Identifiers 1

Other1922055276NY · Npi

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 & Nutrition, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Gastroenterology & Nutrition, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Samuel Davidoff, MD
Gastroenterology
NPI 1922055276
10816 72ND AVE 2 FLOOR
Forest Hills, NY 11375
(718) 261-0900
✔ PECOS✔ Accepts MedicareSame address
Yuriy Israel
Gastroenterology
NPI 1154563682
10816 72ND AVE
Forest Hills, NY 11375
(718) 261-0900
✔ PECOS✔ Accepts MedicareSame address
Emanuel Yaakobov, FNP
Nurse Practitioner
NPI 1194319087
10816 72ND AVE STE 2
Forest Hills, NY 11375
(718) 261-0900
✔ PECOSSame address
Adam Jacob, DO
Gastroenterology
NPI 1538798426
10816 72ND AVE STE 2
Forest Hills, NY 11375
(718) 261-0900
✔ PECOSSame address
Artur Kaykov
Nurse Practitioner
NPI 1548970502
7925 150TH ST APT D7
Flushing, NY 11367
(646) 270-8278
✔ PECOS1.6 mi
Vyacheslav Fattakhov, M.D
Anesthesiology
NPI 1952395303
108 BURNHAM AVE
Roslyn Heights, NY 11577
(718) 795-7586
✔ PECOS✔ Accepts Medicare11 mi
Miroslav Radevic, M.D.
Pathology
NPI 1275779894
246 INDUSTRIAL WAY W SUITE 2
Eatontown, NJ 07724
(732) 389-5200
✔ PECOS✔ Accepts Medicare33 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

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 Compliance 33D2057048

Gastroenterology & Nutrition, PC · Forest Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D2057048
Laboratory TypeIndependent
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Miroslav R. Radevic
Laboratory Phone(718) 261-0900
Laboratory LocationGastroenterology & Nutrition, PC108-16 72nd Ave, 2nd Floor, Forest Hills, NY 11375
CLIA data matches this NPI record on: Name 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 & Nutrition, PC's NPI number?

The NPI number for Gastroenterology & Nutrition, PC is 1427214949. It was assigned to this organization in the NPPES registry on August 4, 2008.

Where is Gastroenterology & Nutrition, PC located?

Gastroenterology & Nutrition, PC is located at 10816 72nd Ave 2 Floor, Forest Hills, NY 11375. The listed phone number is (718) 261-0900.

What is Gastroenterology & Nutrition, PC's specialty?

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

Is Gastroenterology & Nutrition, PC enrolled in Medicare?

Yes. Gastroenterology & Nutrition, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology & Nutrition, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Gastroenterology & Nutrition, 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 (3), Nurse Practitioner (2) and Anesthesiology (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gastroenterology & Nutrition, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2057048) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gastroenterology & Nutrition, PC was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.