Long Island Medical and Gastroenterology Associates, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

LONG ISLAND MEDICAL AND GASTROENTEROLOGY ASSOCIATES, P.C.

Practice address

192 E Shore Rd
Great Neck, NY 11023-2416

Phone

(516) 487-4500

Fax

(516) 487-7439

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Michaela S Faella

Title

Administrator

Phone

(516) 650-4604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1023134384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232416",
            "telephone_number": "516-487-4500",
            "fax_number": "516-487-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232416",
            "telephone_number": "516-487-4500",
            "fax_number": "516-487-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND MEDICAL AND GASTROENTEROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "FAELLA",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-650-4604"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Great Neck, NY
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• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.