436 Gwb Medical Office PC
NPI 1366952913ActiveOrganization· General Practice· New York, NY
General Practice in New York, New York, registered in NPPES in October 2017. The authorized official on file is Jose A. Goris, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366952913 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2017 |
| Last updated in NPPES | Oct 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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