Organization Active NPI

Pinnacle Endoscopy PC

  • Endoscopy Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1255561395
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
135555 Issued in NY
Legal business name
PINNACLE ENDOSCOPY PC
Practice address
11203 Queens Blvd
Suite 207
Forest Hills, NY 11375-5550
Phone
(718) 544-7077
Fax
(718) 261-4476
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Sidney Rosman, M.D.
Title
President
Phone
(718) 544-7077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 135555 NY Primary
Endoscopy Clinic/Center 261QE0800X 170615 NY

Addresses

Primary practice location

11203 Queens Blvd
Suite 207
Forest Hills, NY 11375-5550

Mailing address

11203 Queens Blvd
Suite 207
Forest Hills, NY 11375-5550
Phone (718) 544-7077

National Provider Directory

National Provider Directory

Locations

11203 Queens Blvd
Ste 207
Forest Hills, NY 11375
Phone (718) 263-3718

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1255561395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "address_2": "SUITE 207",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-544-7077",
            "fax_number": "718-261-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "address_2": "SUITE 207",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-544-7077",
            "fax_number": "718-261-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ENDOSCOPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "ROSMAN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-544-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "135555",
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "170615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.