Organization Active NPI

Western Suffolk Gastroenterology Assoc LLP

  • Gastroenterology Physician
  • Bay Shore, NY
National Provider Identifier
1073626495
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WESTERN SUFFOLK GASTROENTEROLOGY ASSOC LLP
Practice address
375 E Main St
Ste 21
Bay Shore, NY 11706
Phone
(631) 968-8288
Fax
(631) 968-8268
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Jeffrey Roy Ashkin, MD
Title
MD
Phone
(631) 968-8288

Specialties & licenses 1

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

Addresses

Primary practice location

375 E Main St
Ste 21
Bay Shore, NY 11706

Mailing address

375 E Main St
Ste 21
Bay Shore, NY 11706
Phone (631) 968-8288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1073626495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "STE 21",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-8288",
            "fax_number": "631-968-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "STE 21",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-8288",
            "fax_number": "631-968-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SUFFOLK GASTROENTEROLOGY ASSOC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "ASHKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-968-8288",
        "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 Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.