Organization Active NPI

Empire Ambulatory Endoscopy Center

  • Endoscopy Clinic/Center
  • Staten Island, NY
National Provider Identifier
1245518315
Registry record updated Jul 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
3182 Issued in NY
Legal business name
EMPIRE AMBULATORY ENDOSCOPY CENTER
Practice address
5091 Amboy Road
Staten Island, NY 10312-4722
Phone
(718) 948-0221
Fax
(718) 948-1787
NPI assigned
Jul 23, 2011
Last updated
Jul 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2011

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

Authorized official

Name
Dr. Sherif Farag, MDNPI 1861467250
Title
Owner
Phone
(917) 751-0416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 3182 NY Primary

Addresses

Primary practice location

5091 Amboy Road
Staten Island, NY 10312-4722

Mailing address

5091 Amboy Road
Staten Island, NY 10312-4722
Phone (718) 948-0221

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311379200000",
    "number": "1245518315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 AMBOY ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124722",
            "telephone_number": "718-948-0221",
            "fax_number": "718-948-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 AMBOY ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124722",
            "telephone_number": "718-948-0221",
            "fax_number": "718-948-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE AMBULATORY ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-23",
        "last_updated": "2011-07-23",
        "status": "A",
        "authorized_official_last_name": "FARAG",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-751-0416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "3182",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 23, 2011; 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.