Organization Active NPI

Gastrointestinal Care of Long Island PLLC

Doing business as Allied Digestive Health Medical Group of New York

  • Gastroenterology Physician
  • Massapequa, NY
National Provider Identifier
1265571863
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
151369-1 Issued in NY
Legal business name
GASTROINTESTINAL CARE OF LONG ISLAND PLLC
Doing business as
Allied Digestive Health Medical Group of New York
Practice address
187 Veterans Blvd
Massapequa, NY 11758-4982
Phone
(516) 795-5523
Fax
(516) 795-5521
NPI assigned
Feb 6, 2007
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Jean M Pfeifle
Title
RCM Operations Manager
Phone
(640) 333-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 151369-1 NY Primary

Addresses

Primary practice location

187 Veterans Blvd
Massapequa, NY 11758-4982

Mailing address

187 Route 36 Ste 230
West Long Branch, NJ 07764-1306
Phone (732) 702-1039

Other names 2

  • Allied Digestive Health Medical Group of New York Doing business as
  • Gastrointestinal Care of Long Island PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080305000269 NY Part B Supplier - Clinic/Group Practice 7517042211 Receives reassigned benefits from 237 practitioners
Practice locations: New York, NY; New City, NY; Massapequa, NY; Lynbrook, NY; Jackson Heights, NY; Great Neck, NY; Rochester, NY; Pearl River, NY…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1077364Gastrointestinal Care of Long Island PLLC Dba187 Veterans Boulevard, Massapequa, NY 11758Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805

1375 Washington Ave
#10113282
Albany, NY 12206
Phone (518) 533-1269

310 Grand Concourse
Ste L3
Bronx, NY 10451
Phone (718) 220-2433

1819 E 13th St
#11
Brooklyn, NY 11229
Phone (718) 627-6800

801 Avenue N
Ste 7
Brooklyn, NY 11230

33 N Ocean Ave
Ste 2
Freeport, NY 11520
Phone (516) 593-4451

310 E Shore Rd
Ste 206
Great Neck, NY 11023
Phone (516) 487-7677

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

29 Jericho Tpke
Jericho, NY 11753

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

30 E 60th St
Ste 804
New York, NY 10022
Phone (212) 486-3886

20 Hagen Dr
Ste 330
Rochester, NY 14625
Phone (585) 267-4040

20 W Lincoln Ave
Ste 7
Valley Stream, NY 11580

4902 Queens Blvd
Ste B1
Woodside, NY 11377
Phone (919) 349-6650

Practitioners & affiliated clinicians

Practitioners 347

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.

View all 347

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1265571863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 ROUTE 36 STE 230",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641306",
            "telephone_number": "732-702-1039",
            "fax_number": "732-548-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 VETERANS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584982",
            "telephone_number": "516-795-5523",
            "fax_number": "516-795-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL CARE OF LONG ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "PFEIFLE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RCM OPERATIONS MANAGER",
        "authorized_official_telephone_number": "640-333-0304"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "151369-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Digestive Health Medical Group of New York",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gastrointestinal Care of Long Island PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gastrointestinal Care of Long Island PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.