Port Washington Gastroenterology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

198682 Issued in NY

Legal business name

PORT WASHINGTON GASTROENTEROLOGY, PC

Practice address

2001 Marcus Ave
Suite N204
New Hyde Park, NY 11042-2061

Phone

(516) 684-9229

Fax

(516) 684-9918

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Berg, M.DNPI 1003870429

Title

Physician

Phone

(516) 684-9229

Specialties & licenses 1

Addresses

Other names 1

• Paul S. Berg, MD Other name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4624/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Paul S. Berg, MD

  • Gastroenterology Physician
  • New Hyde Park, NY
  • NPI 1003870429
  NPD (past) Authorized official

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1134401474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422061",
            "telephone_number": "516-684-9229",
            "fax_number": "516-684-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422061",
            "telephone_number": "516-684-9229",
            "fax_number": "516-684-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT WASHINGTON GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-684-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "198682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul S. Berg, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sabrina Popli
• Popper Dental PLLC
• Andrew J Porges, MD
• Deborah Y Porges, MD
• Sarah Porras, NNP-BC
• Kelly R Porta, PA
• Cecily Portillo, PH.D.
• Joel Evan Portnoy, M.D.
• Dominick Posillico, PA
• Agustin Posso, MD

• Specialist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.