Individual provider Active NPI

Howard Pastrich, M.D.

  • Gastroenterology Physician
  • E Patchogue, NY
National Provider Identifier
1336163591
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
146972 Issued in NY
Practice address
260 Patchogue Yaphank Rd
Suite C
E Patchogue, NY 11772-4886
Phone
(631) 289-0300
Fax
(631) 289-0402
NPI assigned
Jul 27, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 146972 NY Primary

Addresses

Primary practice location

260 Patchogue Yaphank Rd
Suite C
E Patchogue, NY 11772-4886

Mailing address

260 Patchogue Yaphank Rd
Suite C
E Patchogue, NY 11772-4886
Phone (631) 289-0300

Other identifiers 2

IdentifierTypeStateIssuer
100003057OtherNYRAILROAD MEDICARE
01097350MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000664 NY Practitioner - Gastroenterology 7113093485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146972NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Gastroenterology Associates, P.C. Gastroenterology CurrentSince Nov 3, 1998 Accepting new patients

Locations

260 Patchogue Yaphank Rd
Ste C
East Patchogue, NY 11772
Phone (631) 289-0300

260 Patchogue Yaphank Rd
Ste D
East Patchogue, NY 11772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBACA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1336163591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE C",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724886",
            "telephone_number": "631-289-0300",
            "fax_number": "631-289-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE C",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724886",
            "telephone_number": "631-289-0300",
            "fax_number": "631-289-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRICH",
        "first_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "146972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100003057",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01097350",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Patchogue, NY

Sources for this page

Verify at the official NPI Registry.