NPIMap

Organization Active NPI

Elmhurst Gastroenterology and Endoscopy, PC

  • Clinical Pathology Physician
  • Elmhurst, NY
National Provider Identifier
1134622152
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
Legal business name
ELMHURST GASTROENTEROLOGY AND ENDOSCOPY, PC
Practice address
7911 41St Ave
Elmhurst, NY 11373-1258
Phone
(516) 456-0304
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Igal Khorshidi, MDNPI 1659500668
Title
Medical Director
Phone
(516) 456-0304

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
Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZC0006X Primary

Addresses

Primary practice location

7911 41St Ave
Elmhurst, NY 11373-1258

Mailing address

7911 41St Ave
Elmhurst, NY 11373-1258
Phone (516) 456-0304

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1134622152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 41ST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731258",
            "telephone_number": "516-456-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 41ST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731258",
            "telephone_number": "516-456-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST GASTROENTEROLOGY AND ENDOSCOPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "KHORSHIDI",
        "authorized_official_first_name": "IGAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-456-0304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.