Organization Active NPI

DLD Endoscopy PLLC

  • Gastroenterology Physician
  • Staten Island, NY
National Provider Identifier
1245479450
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
157047-1
Legal business name
DLD ENDOSCOPY PLLC
Practice address
5 Little Clove Rd
Staten Island, NY 10301-4304
Phone
(718) 876-9600
Fax
(718) 876-7738
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Divyang M. Parikh, M.D.
Title
Medical Director/ President
Phone
(718) 876-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 157047-1 Primary

Addresses

Primary practice location

5 Little Clove Rd
Staten Island, NY 10301-4304

Mailing address

5 Little Clove Rd
Staten Island, NY 10301-4304
Phone (718) 876-9600

Other identifiers 1

IdentifierTypeStateIssuer
00994990MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1245479450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014304",
            "telephone_number": "718-876-9600",
            "fax_number": "718-876-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014304",
            "telephone_number": "718-876-9600",
            "fax_number": "718-876-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLD ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "DIVYANG",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ PRESIDENT",
        "authorized_official_telephone_number": "718-876-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": "157047-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00994990",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.