Izquierdo-Gastroenterology, PC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

156124 Issued in NY

Legal business name

IZQUIERDO-GASTROENTEROLOGY, PC

Practice address

3757 91St St
Jackson Heights, NY 11372-7901

Phone

(718) 779-7697

Fax

(718) 457-2402

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By 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. Thomas Joel Izquierdo, MDNPI 1649369554

Title

Medical Officefr

Phone

(718) 779-7697

Specialties & licenses 1

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.

• Thomas J Izquierdo, M.D.

  • Gastroenterology Physician
  • Jackson Heights, NY
  • NPI 1649369554
  Authorized official Same address or phone

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1255576310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-779-7697",
            "fax_number": "718-457-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-779-7697",
            "fax_number": "718-457-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZQUIERDO-GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "MEDICAL OFFICEFR",
        "authorized_official_telephone_number": "718-779-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "156124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelaide Isern, LMSW
• Island Allergy & Asthma PC
• Israel Aviles MD PC
• Ethel Miriam Iusim, M.D.
• Ivelisse Mejia Rima DDS
• Thomas J Izquierdo, M.D.
• Marisol Izurieta
• J & M Pharmacy Corp (J&M Pharmacy)
• J&E Optical Center, LLC (Shop Eyeglasses Today)
• Jac Pharmacy Inc (Farmacia Latina)

• Endoscopy Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Endoscopy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.