Organization Active NPI

Long Island Gastroenterology and Liver Disease P.C.

  • Internal Medicine Physician
  • Smithtown, NY
National Provider Identifier
1194025973
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONG ISLAND GASTROENTEROLOGY AND LIVER DISEASE P.C.
Practice address
48 Route 25a Ste 307
Smithtown, NY 11787-1454
Phone
(631) 265-0062
Fax
(631) 265-0590
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Dr. Zvi Alpern, M.D.NPI 1023115748
Title
President
Phone
(631) 265-0062

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

48 Route 25a Ste 307
Smithtown, NY 11787-1454

Mailing address

48 Route 25a Ste 307
Smithtown, NY 11787-1454
Phone (631) 265-0062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110805000615 NY Part B Supplier - Clinic/Group Practice 1658540752 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Locations

48 Route 25A
Ste 307
Smithtown, NY 11787
Phone (631) 265-0062

Practitioners & affiliated clinicians

Practitioners 3

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": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1194025973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A STE 307",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871454",
            "telephone_number": "631-265-0062",
            "fax_number": "631-265-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A STE 307",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871454",
            "telephone_number": "631-265-0062",
            "fax_number": "631-265-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND GASTROENTEROLOGY AND LIVER DISEASE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "ALPERN",
        "authorized_official_first_name": "ZVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-265-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.