Organization Active NPI

Long Island Gastroenterology Group P C

  • Gastroenterology Physician
  • Merrick, NY
National Provider Identifier
1194768366
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
129485 Issued in NY
Legal business name
LONG ISLAND GASTROENTEROLOGY GROUP P C
Practice address
131 Merrick Rd
Merrick, NY 11566-4542
Phone
(516) 223-1515
Fax
(516) 223-8205
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Richard Steller, MD
Title
Owner
Phone
(516) 223-1515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 241064 NY
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 129485 NY Primary

Addresses

Primary practice location

131 Merrick Rd
Merrick, NY 11566-4542

Mailing address

131 Merrick Rd
Merrick, NY 11566-4542
Phone (516) 223-1515

National Provider Directory

National Provider Directory

Locations

131 Merrick Rd
Ste 1
Merrick, NY 11566
Phone (516) 223-1515

Practitioners & affiliated clinicians

Practitioners 2

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1194768366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664542",
            "telephone_number": "516-223-1515",
            "fax_number": "516-223-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664542",
            "telephone_number": "516-223-1515",
            "fax_number": "516-223-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND GASTROENTEROLOGY GROUP P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "STELLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-223-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "241064",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "129485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.