Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

One Eleven Medical, PC

Organization Gastroenterology Physician · NPI 1770949117

One Eleven Medical, PC is a Gastroenterology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 E 80th St Ste 1C
New York, NY 10075-0334
Phone: (212) 734-5533
Fax: (212) 717-1688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 147236 (NY)

Record details

NPI number1770949117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Krumholz — Owner · (212) 734-5533
NPI enumeratedJanuary 14, 2016
Last updated in NPPESJanuary 14, 2016
Mailing address111 E 80th St, Suite 1c, New York, NY 10075-0334

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