# INTEGRATED DIGESTIVE MEDICAL OF NEW YORK, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SKB Medical, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023729548
- **Authorized official:** SAMEER KAPI BERRY (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (714) 904-5064

## Contact information

- **Practice address:** 228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
- **Practice address phone:** (646) 876-8455
- **Mailing address:** 228 PARK AVE S STE 16389, NEW YORK, NY 10003-1502
- **Mailing address phone:** (646) 876-8455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/06/2022
- **Last updated:** 02/09/2026