Island Gastroenterology Consultants PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

143127 Issued in NY

Legal business name

ISLAND GASTROENTEROLOGY CONSULTANTS PC

Practice address

1111 Montauk Hwy
3Rd Floor
West Islip, NY 11795-4910

Phone

(631) 669-1171

Fax

(631) 669-1912

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raj Mariwalla, MD

Title

Gastroenterologist

Phone

(631) 669-1171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 15

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

• Lyudmila Altshuler, MD

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1215012604
  Medicare reassignment Care Compare group NPD
• Jean Atallah-Vinograd, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1942444393
  Medicare reassignment Care Compare group NPD
• Pavel M Berklayd, MD

  • Anesthesiology Physician
  • Hartsdale, NY
  • NPI 1659315265
  Medicare reassignment Care Compare group NPD
• William David Disanti, M.D.

  • Gastroenterology Physician
  • West Islip, NY
  • NPI 1336188929
  Medicare reassignment Care Compare group NPD
• Boris Livshin, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1801864608
  Medicare reassignment Care Compare group NPD
• Rajkumar G Mariwalla, M.D.

  • Gastroenterology Physician
  • West Islip, NY
  • NPI 1154309037
  Medicare reassignment Care Compare group NPD
• Raul Jose Masakayan, M.D.

  • Anesthesiology Physician
  • Setauket, NY
  • NPI 1194706614

  Specialist

  Medicare reassignment Care Compare group NPD
• Boris Matusevich, MD

  • Anesthesiology Physician
  • West Islip, NY
  • NPI 1952379356
  Medicare reassignment Care Compare group NPD
• Jude Noel, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1538587084
  Medicare reassignment Care Compare group NPD
• Darius Sorbi, M.D.

  • Gastroenterology Physician
  • Bay Shore, NY
  • NPI 1598726077
  Medicare reassignment Care Compare group NPD
• Steven Teplitz, MD

  • Anesthesiology Physician
  • Sayville, NY
  • NPI 1003815960
  Medicare reassignment Care Compare group NPD
• Mitchell I Weinstein, D.O.

  • Gastroenterology Physician
  • West Islip, NY
  • NPI 1942292206
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1174556963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY",
            "address_2": "3RD FLOOR",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-669-1171",
            "fax_number": "631-669-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY",
            "address_2": "3RD FLOOR",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-669-1171",
            "fax_number": "631-669-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND GASTROENTEROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "MARIWALLA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "631-669-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "143127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Irizarry, NP-C
• Island Anesthesiologist PC
• Island Digestive Health Center, LLC
• Island Endoscopy Center LLC
• Island Foot and Ankle
• Island Gastroenterology Consultants PC
• Condii Q Jackson, DPM
• Courtney A Jacobson, LCSW
• Jacqueline Dimalante DC PC
• Hitender Jain, M.D.

• Specialist in West Islip, NY
• Providers in West Islip, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.