New York Digestive Disease Center ,LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

NEW YORK DIGESTIVE DISEASE CENTER ,LLC

Practice address

5514 Main St Ste 2B
Flushing, NY 11355-5005

Phone

(718) 321-0670

Fax

(718) 321-0099

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Kaumudi Somnay, MDNPI 1568457653

Title

Owner

Phone

(718) 321-0670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Yue Hua Zhang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bronx, NY
  • NPI 1538351010
  Medicare reassignment NPD
• Kaumudi Somnay, M.D.

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1568457653
  NPD Authorized official
• Zoran J Bandovic, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1174571905
  NPD (past)
• Moe M. Thu, M.D.

  • Anesthesiology Physician
  • New Rochelle, NY
  • NPI 1891779187
  NPD (past)
• Linjun Xie, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1639242928
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1184485666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 MAIN ST STE 2B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555005",
            "telephone_number": "718-321-0670",
            "fax_number": "718-321-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 MAIN ST STE 2B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555005",
            "telephone_number": "718-321-0670",
            "fax_number": "718-321-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK DIGESTIVE DISEASE CENTER ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SOMNAY",
        "authorized_official_first_name": "KAUMUDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-0670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.