Paul James Endres, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

224631 Issued in NY

Practice address

82 Jessup Avenue
PO Box 1215
Quogue, NY 11959-1215

Phone

(212) 729-7228

NPI assigned

Jul 2, 2008

Last updated

Jul 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Family Medical

  • Emergency Medicine Physician
  • Miller Place, NY
  • NPI 1053461665

  Family Medicine

  NPD (past)
• Long Island Family Medical Group PC

  • Family Medicine Physician
  • Saint James, NY
  • NPI 1841223369
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1326201195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119591215",
            "telephone_number": "212-729-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 JESSUP AVENUE",
            "address_2": "PO BOX 1215",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119591215",
            "telephone_number": "212-729-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "224631",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "224631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Shultz, PHD, Psychologist, PLLC
• Stephanie Claire Burns, NP-C
• John Calisi
• Michael F Cucciniello, C.R.N.A.
• Elizabeth Plate LCSW PLLC
• Leonard Fagen, D.P.M.
• Susan Feldman, PT, PHD
• Hamptons Plastic Surgery, PLLC
• Magdalena Hennessy
• Wendy M Hornick, LCSW

• Anatomic Pathology & Clinical Pathology Physician in Quogue, NY
• Providers in Quogue, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.