NPIMap

Organization Active NPI

Cresent Endoscopy Center Inc

  • Gastroenterology Physician
  • Astoria, NY
National Provider Identifier
1013354141
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CRESENT ENDOSCOPY CENTER INC
Practice address
2747 Cresecent St
Astoria, NY 11102-0000
Phone
(718) 204-1100
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Emanuel Kouropous, MD
Title
Owner
Phone
(718) 204-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2747 Cresecent St
Astoria, NY 11102-0000

Mailing address

2747 Cresecent St
Suite 206B
Astoria, NY 11102-0000
Phone (718) 204-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1013354141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 CRESECENT ST",
            "address_2": "SUITE 206B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111020000",
            "telephone_number": "718-204-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 CRESECENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111020000",
            "telephone_number": "718-204-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESENT ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "KOUROPOUS",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-204-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.