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MANHATTAN GASTROENTEROLOGY P.C.
NPI 1922396472
Internal Medicine - Gastroenterology in New York, NY

Active since July 19, 2011CLIA Certified · 2 labs
55 W 17TH ST, NEW YORK, NY 10011(212) 427-8761(212) 427-8762 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manhattan Gastroenterology P.c. NPPES

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

MANHATTAN GASTROENTEROLOGY P.C. (NPI 1922396472) is a healthcare organization registered as a gastroenterology in New York, New York and active in the NPI registry since July 2011. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in New York, and lists Shawn Khodadadian, Owner, as its authorized official.

NPPES Registry Identity

NPI1922396472
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMANHATTAN GASTROENTEROLOGY P.C.
Location Address55 W 17TH STNew York, NY 10011-5513
Mailing Address121 W 27th St Ste 504New York, NY 10001-6207 · (212) 427-8761 · Fax (212) 427-8762
Phone(212) 427-8761
Fax(212) 427-8762
Organization SubpartNo
Authorized OfficialShawn KhodadadianOwner · (646) 351-0911
Enumeration DateJuly 19, 2011
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1922396472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 244392
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.
Also ListedOptometristTaxonomy 152W00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedPodiatristTaxonomy 213E00000X
55 W 17TH ST, New York, NY 10011
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Secondary Practice Location 1

Location 1983 Park Ave Ste 1DNew York, NY 10028-0808 · Phone (212) 427-8761 · Fax (212) 427-8762

Other Identifiers 1

OtherA100252116NY · Medicare Ptan

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 33D2165881

Manhattan Gastroenterology · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2165881
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Shawn Khodadadian
Laboratory Phone(212) 427-8761
Laboratory LocationManhattan Gastroenterology983 Park Ave - Suite 1D, New York, NY 10028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2165882

Manhattan Gastroenterology · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2165882
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Shawn Khodadadian
Laboratory Phone(212) 378-9983
Laboratory LocationManhattan Gastroenterology55 W 17th Street, New York, NY 10011
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

UNION SQUARE MEDICAL PRACTICE PC
Internal Medicine
55 W 17TH ST
NEW YORK, NY 10011
New York County (212) 427-8761
UNION SQUARE SURGICAL PC
Internal Medicine
55 W 17TH ST
NEW YORK, NY 10011
New York County (212) 427-8761
DANIEL PERL MD
Internal Medicine (Gastroenterology)
55 W 17TH ST
NEW YORK, NY 10011
New York County (212) 427-8761
MR. MIKHAIL YAKUBOV M.D.
Internal Medicine (Gastroenterology)
55 W 17TH ST
NEW YORK, NY 10011
New York County (212) 427-8761
MICHAEL ROSMAN
Internal Medicine (Gastroenterology)
55 W 17TH ST
NEW YORK, NY 10011
New York County (212) 427-8761
QIN RAO
Internal Medicine (Gastroenterology)
55 W 17TH ST
NEW YORK, NY 10011
New York County (212) 427-8761

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 Manhattan Gastroenterology P.C.'s NPI number?

The NPI number for Manhattan Gastroenterology P.C. is 1922396472. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Manhattan Gastroenterology P.C. located?

Manhattan Gastroenterology P.C. is located at 55 W 17th St, New York, NY 10011. The listed phone number is (212) 427-8761.

What is Manhattan Gastroenterology P.C.'s specialty?

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

Does Manhattan Gastroenterology P.C. 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 Manhattan Gastroenterology P.C. was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.