New Hyde Park Gastroenterology PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEW HYDE PARK GASTROENTEROLOGY PC

Practice address

1575 Hillside Ave Ste 100
New Hyde Park, NY 11040-2501

Phone

(516) 358-7210

Fax

(516) 352-2596

NPI assigned

Jul 25, 2010

Last updated

Sep 18, 2013By 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. Anant Vijay Indaram, MDNPI 1629015037

Title

Owner

Phone

(516) 358-7210

Specialties & licenses 1

Addresses

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.

• Anant V Indaram, MD

  • Gastroenterology Physician
  • New Hyde Park, NY
  • NPI 1629015037
  Authorized official Same address or phone

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1275846818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE STE 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE STE 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501",
            "telephone_number": "516-358-7210",
            "fax_number": "516-352-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HYDE PARK GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-25",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "INDARAM",
        "authorized_official_first_name": "ANANT",
        "authorized_official_middle_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-358-7210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.