MANHATTAN GASTROENTEROLOGY P.C. NPI 1922396472

NPI Information

  • NPI: 1922396472
  • Provider Name: MANHATTAN GASTROENTEROLOGY P.C.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • CLIA Number: 33D2293869
  • Address: 55 W 17TH ST
    NEW YORK, NY
    ZIP 10011
  • Phone: (212) 427-8761

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NPI Details

MANHATTAN GASTROENTEROLOGY P.C. is a gastroenterology internal medicine in New York, NY. The provider is 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. MANHATTAN GASTROENTEROLOGY P.C. NPI is 1922396472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 W 17TH ST
NEW YORK, NY
ZIP 10011-513
Phone: (212) 427-8761
Fax: (212) 427-8762

The provider's authorized official is Shawn Khodadadian .
The authorized official title is Owner and has the following contact phone number (646) 351-0911.

The CLIA number assigned to this NPI record is 33D2293869 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RG0100XInternal MedicineGastroenterology244392NEW YORKNo
3207VG0400XObstetrics & GynecologyGynecologyNo
4152W00000XOptometristNo
5213E00000XPodiatristNo
6207N00000XDermatologyNo
7207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A100252116OTHERNEW YORKMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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