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

Dr. Custon Tafadzwa Nyabanga, MD

Individual provider Gastroenterology Physician · NPI 1508214552

Dr. Custon Tafadzwa Nyabanga, MD is a Gastroenterology in New York, New York. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2016, 10 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10 Union Sq E
New York, NY 10003-3314
Phone: (212) 420-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (212) 263-5506

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 294086 (NY)

Record details

NPI number1508214552
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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