MEDICARE: NEW YORK GASTROENTEROLOGY & DIGESTIVE DISORDERS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821313594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YORK GASTROENTEROLOGY & DIGESTIVE DISORDERS PC

Provider Business Mailing Address
First Line	:	20 GRAND BLVD
Second Line	:
City	:	EMERSON
State	:	NJ
Zip	:	07630-1706
Country	:	US
Telephone Number	:	917-885-0633
Fax Number	:	201-261-4944

Provider Business Practice Location Address
First Line	:	20 GRAND BLVD
Second Line	:
City	:	EMERSON
State	:	NJ
Zip	:	07630-1706
Country	:	US
Telephone Number	:	917-885-0633
Fax Number	:	201-261-4944

Authorized Official
Title or Position	:	DOCTOR
Name	:	STUART I FINKEL
Credential	:	MD
Telephone Number	:	917-885-0633

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	09/11/2024

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