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EXCELCIUM MED GROUP, PC
NPI 1902042815
General Practice in New York, NY

Active since December 23, 2008
435 FT WASHINGTON AVENUE, SUITE 1C, NEW YORK, NY 10033(212) 923-0408(212) 923-4032 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Excelcium Med Group, Pc NPPES

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

EXCELCIUM MED GROUP, PC (NPI 1902042815) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since December 2008. The organization lists Jose A Goris, President, as its authorized official.

NPPES Registry Identity

NPI1902042815
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEXCELCIUM MED GROUP, PC
Location Address435 FT WASHINGTON AVENUE, SUITE 1CNew York, NY 10033-3527
Mailing Address435 Ft Washington Avenue, Suite 1cNew York, NY 10033-3527 · (212) 923-0408 · Fax (212) 923-4032
Phone(212) 923-0408
Fax(212) 923-4032
Organization SubpartNo
Authorized OfficialJose A GorisPresident · (212) 923-0408
Enumeration DateDecember 23, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1902042815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 190663
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 190663 (NY)
435 FT WASHINGTON AVENUE, New York, NY 10033
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Other Identifiers 2

Medicaid01740610NY
Other190663License

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

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 Excelcium Med Group, PC's NPI number?

The NPI number for Excelcium Med Group, PC is 1902042815. It was assigned to this organization in the NPPES registry on December 23, 2008.

Where is Excelcium Med Group, PC located?

Excelcium Med Group, PC is located at 435 Ft Washington Avenue Suite 1C, New York, NY 10033. The listed phone number is (212) 923-0408.

What is Excelcium Med Group, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Excelcium Med Group, PC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.