Organization Active NPI

Gi Endoscopy Practice LLC

  • Gastroenterology Physician
  • Riverdale, NJ
National Provider Identifier
1043726821
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI ENDOSCOPY PRACTICE LLC
Practice address
44 State RT 23 Ste 7
Riverdale, NJ 07457-1603
Phone
(973) 248-1550
Fax
(973) 248-1560
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Bharat DasaniNPI 1073698049
Title
Director
Phone
(973) 248-1550

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

44 State RT 23 Ste 7
Riverdale, NJ 07457-1603

Mailing address

44 State RT 23 Ste 7
Riverdale, NJ 07457-1603
Phone (973) 248-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000138 NJ Part B Supplier - Clinic/Group Practice 8729435870 Receives reassigned benefits from 2 practitioners
Practice locations: Riverdale, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1043726821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STATE RT 23 STE 7",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571603",
            "telephone_number": "973-248-1550",
            "fax_number": "973-248-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STATE RT 23 STE 7",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571603",
            "telephone_number": "973-248-1550",
            "fax_number": "973-248-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI ENDOSCOPY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "DASANI",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-248-1550"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.