Precision Digestive Care, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PRECISION DIGESTIVE CARE, PC

Practice address

205 E Main St Ste 1-4
Huntington, NY 11743-7931

Phone

(000) 000-0000

Fax

(000) 000-0000

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Gandolfo, MDNPI 1053550079

Title

Owner

Phone

(516) 365-4949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17365/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Frederick Joseph Gandolfo, M.D.

  • Gastroenterology Physician
  • Huntington, NY
  • NPI 1053550079
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Niakan Beyda, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bronx, NY
  • NPI 1811232846
  Medicare reassignment Care Compare group NPD
• Amita Kundra, MD

  • Anesthesiology Physician
  • Woodbury, NY
  • NPI 1013210574
  Medicare reassignment NPD
• Scott James Streater, MD

  • Anesthesiology Physician
  • Huntington, NY
  • NPI 1508856865
  Medicare reassignment NPD

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1306350483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 1-4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437931",
            "telephone_number": "000-000-0000",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 1-4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437931",
            "telephone_number": "000-000-0000",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DIGESTIVE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "GANDOLFO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-365-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Posner, D.C.
• Jaime M Poulos, D.D.S.
• Jennifer Katherine Pralle Broderick
• Michelle Prata
• Deandra Loren Pratt, LMT
• Precision Ultrasound LLC
• Precisionvbm Partners
• Janet Bailey Preis, NP
• Premiere Podiatry PC
• Nisha Susan Prince-Mattathil, NURSE PRACTITIONER

• Gastroenterology Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.