Organization Active NPI

Digestive Disease Care, PC

  • Gastroenterology Physician
  • East Setauket, NY
National Provider Identifier
1184871774
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISEASE CARE, PC
Practice address
235 N Belle Mead Rd
East Setauket, NY 11733-3538
Phone
(631) 450-1500
Fax
(347) 236-3163
NPI assigned
Aug 26, 2008
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Nilesh Mehta, MDNPI 1649436163
Title
Doctor
Phone
(646) 281-1103

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Preferred Provider Organization 305R00000X 227132 NY
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

235 N Belle Mead Rd
East Setauket, NY 11733-3538

Mailing address

235 N Belle Mead Rd
East Setauket, NY 11733-3538
Phone (631) 450-1500

Other practice location 1

1991 Marcus Ave Ste M200
New Hyde Park, NY 11042-3000
Phone (516) 204-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080829000434 NY Part B Supplier - Clinic/Group Practice 7113093071 Receives reassigned benefits from 71 practitioners
Practice locations: Rego Park, NY; Ronkonkoma, NY; Riverhead, NY; Richmond Hill, NY; Patchogue, NY; North Massapequa, NY; New Hyde Park, NY; Mineola, NY…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2137727Digestive Disease Care PC235 N Belle Mead Rd, East Setauket, NY 11733ComplianceMar 26, 2027
33D2192660Digestive Disease Care PC1991 Marcus Ave Suite M200, New Hyde Park, NY 11042Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

6845 Main St
Flushing, NY 11367
Phone (718) 263-5437

10440 Queens Blvd
Forest Hills, NY 11375
Phone (646) 400-3225

10440 Queens Blvd
Ste 1F
Forest Hills, NY 11375
Phone (718) 275-7088

10740 Queens Blvd
Ste 1S
Forest Hills, NY 11375
Phone (516) 204-4242

366 N Broadway
Ste LW2
Jericho, NY 11753
Phone (516) 407-7395

1575 Hillside Ave
Ste 301
New Hyde Park, NY 11040
Phone (516) 354-2200

1991 Marcus Ave
Ste M200
New Hyde Park, NY 11042
Phone (516) 204-4242

235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1184871774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BELLE MEAD RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333538",
            "telephone_number": "631-450-1500",
            "fax_number": "347-236-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BELLE MEAD RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333538",
            "telephone_number": "631-450-1500",
            "fax_number": "347-236-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Marcus Ave Ste M200",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110423000",
            "country_code": "US",
            "telephone_number": "516-204-4242",
            "fax_number": "347-236-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "646-281-1103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "227132",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.