Fulton Gi Medical PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

FULTON GI MEDICAL PLLC

Practice address

3916 Prince St Ste 354
Flushing, NY 11354-5367

Phone

(212) 431-4309

NPI assigned

Apr 20, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony NG, MDNPI 1649202367

Title

Member

Phone

(212) 431-4309

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Anthony J NG, MD

  • Gastroenterology Physician
  • New York, NY
  • NPI 1649202367
  NPD (past) Authorized official

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1235583790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST STE 354",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545367",
            "telephone_number": "718-316-6873",
            "fax_number": "718-316-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST STE 354",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545367",
            "telephone_number": "212-431-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON GI MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-431-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "196705",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "187495",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, 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 Oct 12, 2016; 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.