Digestive Diseases & Nutrition LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

189770 Issued in NY

Legal business name

DIGESTIVE DISEASES & NUTRITION LLC

Practice address

175 61 Hillside Ave
Ste 402
Jamaica Estates, NY 11432-5796

Phone

(718) 291-0488

Fax

(718) 291-0888

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Rom M Gupta, MDNPI 1013992528

Title

Owner

Phone

(516) 330-6615

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Rom M Gupta, M.D.

  • Gastroenterology Physician
  • Fresh Meadows, NY
  • NPI 1013992528
  Medicare reassignment Care Compare group Authorized official
• Jean J Luo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Flushing, NY
  • NPI 1679757892
  Medicare reassignment Care Compare group NPD
• Huaibao Sheng, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1942299516

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1225208564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 61 HILLSIDE AVE",
            "address_2": "STE 402",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "114325796",
            "telephone_number": "516-330-6615",
            "fax_number": "718-291-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 61 HILLSIDE AVE",
            "address_2": "STE 402",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "114325796",
            "telephone_number": "718-291-0488",
            "fax_number": "718-291-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASES & NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ROM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-330-6615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "189770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Center for Psychotherapy
• Sergio Alcuaz Aguilar, MD
• Madeline Bush
• Robyn Cannariato, LSW
• Department of Education
• Beverly Feigelman, LCSW ACSW CASAC
• Natalie Khaimov
• Rakesh Khilwani, DDS
• Sridevi Lokasubramanian, MD
• Manuel C Bulauitan MD PC

• Gastroenterology Physician in Jamaica Estates, NY
• Providers in Jamaica Estates, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.