Individual provider Active NPI

Gang He, MD, PHD, FCAP

  • Anatomic Pathology Physician
  • Bayside, NY
National Provider Identifier
1164613667
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
258638-1 Issued in NY
Practice address
4534 Bell Blvd
2ND Floor
Bayside, NY 11361-3353
Phone
(718) 279-1271
Fax
(718) 279-1092
NPI assigned
Aug 8, 2007
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 258638-1 NY Primary
Anatomic Pathology Physician 207ZP0101X 35.090298 OH

Addresses

Primary practice location

4534 Bell Blvd
2ND Floor
Bayside, NY 11361-3353

Mailing address

65 Shafter Ave
Albertson, NY 11507-1822
Phone (614) 599-5973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204000479 NY Practitioner - Pathology 5294821914 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Endoscopy PCGroup PAC ID 3072892975, 8 clinicians
Twin Forks Medical PCGroup PAC ID 7315118809, 2 clinicians
Endo Associates of Staten Island, PLLCGroup PAC ID 6608933171, 6 clinicians
Park Avenue Gastroenterology and Digestive Health PLLCGroup PAC ID 2860561040, 3 clinicians
Gastroenterology Associates of Suffolk PCGroup PAC ID 1153211305, 6 clinicians

Practice addresses (Care Compare)

1092 Jericho Tpke
Suite 2S
Commack, NY 11725-3016
Phone (631) 543-8660

332 W Montauk Hwy
Suite 1
Hampton Bays, NY 11946-3551
Phone (631) 723-0600

360 Edison St
Staten Island, NY 10306-3041
Phone (718) 351-6377

755 Park Ave
Suite 200
Huntington, NY 11743-3972
Phone (631) 683-4235

931 Hallock Ave
Port Jefferson Station, NY 11776-1228
Phone (631) 331-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
258638-1NYMDAnatomic Pathology Physician
35.090298OHMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Park Avenue Gastroenterology & Digestive Health, PLLC Anatomic Pathology CurrentSince Nov 24, 2021 Accepting new patients
South Island Gastroenterology Associates PC CurrentSince Oct 1, 2021 Accepting new patients
Noah Zinkin MD PC CurrentSince May 1, 2022 Accepting new patients
Gastroenterology Associates of Suffolk, P.C. CurrentSince Oct 30, 2020 Accepting new patients
New York University CurrentSince Jul 1, 2022 Accepting new patients
Bronxcare Health System CurrentSince Mar 1, 2020 Accepting new patients
New York University CurrentSince Jul 1, 2022 Accepting new patients
Mount Sinai School of Medicine CurrentSince Jan 3, 2022 Accepting new patients
North Shore Digestive Medicine PC CurrentSince Dec 13, 2017 Accepting new patients
Lighthouse Endoscopy, PC CurrentSince Sep 17, 2016 Accepting new patients
Harlem Medical Associates PC CurrentSince Jul 30, 2023 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Jan 3, 2022 Accepting new patients
Endo Associates of Staten Island, PLLC CurrentSince May 10, 2025 Accepting new patients
Long Island Medical P.C. CurrentSince Jun 1, 2014 Accepting new patients
Robert M Lazar MD PC CurrentSince Apr 15, 2015 Accepting new patients
Twin Forks Medical PC CurrentSince Jun 1, 2025 Accepting new patients
Bronxcare Health System CurrentSince Mar 1, 2020 Accepting new patients
Advanced Gastroenterology and Endoscopy, P.C. CurrentSince Nov 1, 2015 Accepting new patients
P.D. Gastroenterology, P.C. PastSince Nov 24, 2021 Accepting new patients
Leslie a. Honikman, M.D., P.C. Past Accepting new patients
Eastpath Diagnostics, LLC Past Accepting new patients
Ghulamullah Shahzad Medical PLLC Past Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1650 Grand Concourse
Fl 9
Bronx, NY 10457
Phone (718) 518-5243

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

35 Spencer St
Ste 200
Brooklyn, NY 11205

657 Central Ave
Ste 2
Cedarhurst, NY 11516
Phone (516) 295-9566

1092 Jericho Tpke
Ste 2S
Commack, NY 11725
Phone (631) 543-8660

332 W Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 723-0600

755 Park Ave
Ste 200
Huntington, NY 11743
Phone (516) 433-3200

775 Park Ave
Ste 225
Huntington, NY 11743
Phone (631) 223-8232

141 Washington Ave
Ste 204
Lawrence, NY 11559
Phone (516) 341-0990

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

931 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 331-7200

70 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 331-0200

50 Route 111
Ste 302
Smithtown, NY 11787
Phone (631) 724-1178

989 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 864-5600

360 Edison St
Staten Island, NY 10306
Phone (718) 351-6377

237 Jericho Tpke
Syosset, NY 11791
Phone (516) 584-6400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGCDA

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1164613667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SHAFTER AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071822",
            "telephone_number": "614-599-5973",
            "fax_number": "718-279-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 BELL BLVD",
            "address_2": "2ND FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613353",
            "telephone_number": "718-279-1271",
            "fax_number": "718-279-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "GANG",
        "credential": "MD, PHD, FCAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "258638-1",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OH",
            "license": "35.090298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.