The Gastroenterology Practice PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

THE GASTROENTEROLOGY PRACTICE PLLC

Practice address

75 Washington St
Hempstead, NY 11550-4028

Phone

(516) 884-3032

NPI assigned

Jan 28, 2019

Organization subpart

No

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

Authorized official

Name

Mitanshu ShahNPI 1215240221

Title

MD

Phone

(516) 884-3032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitanshu Shah, M.D.

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1215240221
  Medicare reassignment Care Compare group NPD Authorized official
• Ruliang Xu, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1922007665
  Medicare reassignment Care Compare group NPD
• Josefina Vergel, FNP-C

  • Family Nurse Practitioner
  • East Setauket, NY
  • NPI 1235836750
  Medicare reassignment NPD

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1083178651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PERRY CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912837",
            "telephone_number": "516-884-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504028",
            "telephone_number": "516-884-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GASTROENTEROLOGY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MITANSHU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-884-3032"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlloy Telesford, LPN
• Danielle Tempone, LMSW
• Anne Nicole Terencio, PT, DPT
• Ann-Alisa Marie Terril
• The Center for Rapid Recovery, Inc
• The Interfaith Nutrition Network, Inc.
• Pamela Ann Thiede
• Carline M Thomas, NP
• Cheriyan Thomas, M.D
• Floribel Thomas, MSW

• Gastroenterology Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.