Active NPI
South Island Gastroenterology Associates PC
- Gastroenterology Physician
- Lawrence, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SOUTH ISLAND GASTROENTEROLOGY ASSOCIATES PC
- Practice address
- 141 Washington Ave
Lawrence, NY 11559-1669 - Phone
- (516) 650-4604
- Fax
- (800) 557-3140
- NPI assigned
- Jul 31, 2014
- Last updated
- Jul 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven L Kadish, MD
- Title
- Physician / Owner - Incorporator
- Phone
- (516) 984-6472
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
141 Washington Ave
Lawrence, NY 11559-1669
Mailing address
743 Bryant St
Woodmere, NY 11598-2904
Phone (516) 650-4604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2097660 | South Island Gastroenterology Associates PC | Compliance | Apr 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
141 Washington Ave
Lawrence, NY 11559
Phone (516) 650-4604
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJGCDA
Practitioners & affiliated clinicians
Practitioners 32
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Gastroenterology Physician
- Lawrence, NY
- NPI 1154303683
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- NPI 1770641367
-
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- NPI 1629128780
-
- Anesthesiology Physician
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- NPI 1003815960
-
- Anatomic Pathology & Clinical Pathology Physician
- Mineola, NY
- NPI 1386848778
-
- Gastroenterology Physician
- Cedarhurst, NY
- NPI 1003898602
-
- Anesthesiology Physician
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- NPI 1083610786
-
- Pain Medicine (Anesthesiology) Physician
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- NPI 1861428526
-
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1619973625
-
- Anesthesiology Physician
- Manhasset, NY
- NPI 1972731016
-
- Anesthesiology Physician
- Bethpage, NY
- NPI 1255337192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406764800000",
"number": "1043628282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 BRYANT ST",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982904",
"telephone_number": "516-650-4604",
"fax_number": "800-557-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 WASHINGTON AVE",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591669",
"telephone_number": "516-650-4604",
"fax_number": "800-557-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH ISLAND GASTROENTEROLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A",
"authorized_official_last_name": "KADISH",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN / OWNER - INCORPORATOR",
"authorized_official_telephone_number": "516-984-6472",
"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 Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.