MEMORIAL GASTROENTEROLOGY GROUP
NPI 1629049192
Internal Medicine - Gastroenterology in New York, NY

Active since January 31, 2006
1275 YORK AVE, NEW YORK, NY 10021(212) 639-2000 Get Directions Write a Review

NPPES record last updated: April 13, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Memorial Gastroenterology Group NPPES

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

MEMORIAL GASTROENTEROLOGY GROUP (NPI 1629049192) is a healthcare organization registered as a gastroenterology in New York, New York and active in the NPI registry since January 2006. The organization lists Salvatore M Andreozzi, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1629049192
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMEMORIAL GASTROENTEROLOGY GROUP
Location Address1275 YORK AVENew York, NY 10021-6007
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Organization SubpartNo
Authorized OfficialSalvatore M AndreozziAssociate Director · (646) 227-3751
Enumeration DateJanuary 31, 2006
Last NPPES UpdateApril 13, 2008
✔ NPI 1629049192 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.
1275 YORK AVE, New York, NY 10021

Other Identifiers 1

Medicare ID-Type UnspecifiedW10931

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Gastroenterology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040313000717Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Memorial Gastroenterology Group, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Gastroenterology18
Nurse Practitioner12
Internal Medicine1

Nearest to this location (20)

See all 31
Gastroenterology
NPI 1326433830
1275 YORK AVE
New York, NY 10065
(212) 639-5909
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1437121217
1275 YORK AVE
New York, NY 10021
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1104321652
1275 YORK AVE
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508252081
1275 YORK AVE
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1386750842
1275 YORK AVE
New York, NY 10021
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1770683286
1275 YORK AVE
New York, NY 10021
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1255500153
1275 YORK AVE
New York, NY 10021
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1083105290
1275 YORK AVE
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1063483907
1275 YORK AVE
New York, NY 10021
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1073584942
1275 YORK AVE
New York, NY 10021
(212) 639-7230
✔ PECOSSame address
Nurse Practitioner
NPI 1538896543
1275 YORK AVE
New York, NY 10065
(631) 741-7435
✔ PECOSSame address
Nurse Practitioner
NPI 1982257705
1275 YORK AVE FL 5
New York, NY 10065
(212) 639-6924
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528616885
1275 YORK AVE
New York, NY 10065
(212) 639-2000
✔ PECOSSame address
Gastroenterology
NPI 1578722518
1275 YORK AVE DEPT OF GASTROENTEROLOGY
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912395088
1275 YORK AVE
New York, NY 10065
(212) 639-5189
✔ PECOSSame address
Internal Medicine
NPI 1649531781
1275 YORK AVE
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255785069
1275 YORK AVENUE
New York, NY 10065
(212) 639-2000
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1932144730
525 E 68TH ST
New York, NY 10021
(212) 746-4666
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1801281167
1305 YORK AVE
New York, NY 10021
(212) 746-5077
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1205265030
1275 1ST AVE
New York, NY 10065
(212) 639-6985
✔ PECOS✔ Accepts Medicare0.2 mi
See all 31 clinicians

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 Memorial Gastroenterology Group's NPI number?

The NPI number for Memorial Gastroenterology Group is 1629049192. It was assigned to this organization in the NPPES registry on January 31, 2006.

Where is Memorial Gastroenterology Group located?

Memorial Gastroenterology Group is located at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-2000.

What is Memorial Gastroenterology Group's specialty?

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

Is Memorial Gastroenterology Group enrolled in Medicare?

Yes. Memorial Gastroenterology Group is registered in the Medicare PECOS enrollment system.

When is Memorial Gastroenterology Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Memorial Gastroenterology Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 3 Medicare specialties reassign their Medicare billing to Memorial Gastroenterology Group. 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 (18), Nurse Practitioner (12) and Internal Medicine (1). Of these, 17 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Memorial Gastroenterology Group was last updated on April 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.