Active NPI
Western Suffolk Gastroenterology Assoc LLP
- Gastroenterology Physician
- Bay Shore, NY
National Provider Identifier
1073626495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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 DirectoryNPI 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.