Active NPI
Eastchester Gastroenterology Associates, LLC
- Gastroenterology Physician
- Bronx, NY
National Provider Identifier
1336323054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 210969
- Legal business name
- EASTCHESTER GASTROENTEROLOGY ASSOCIATES, LLC
- Practice address
- 2426 Eastchester Rd
Bronx, NY 10469-5947 - Phone
- (718) 684-6209
- Fax
- (718) 684-6212
- NPI assigned
- Dec 18, 2007
- Last updated
- Dec 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nejat Kiyici, M.D.
- Title
- President
- Phone
- (718) 684-6209
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 210969 | NY | Primary |
| Gastroenterology Physician | 207RG0100X | 221502 | NY |
Addresses
Primary practice location
2426 Eastchester Rd
Bronx, NY 10469-5947
Mailing address
PO Box 218
Tuckahoe, NY 10707-0218
Phone (718) 684-6209
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02242551 | Medicaid | NY | |
| 02194838 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1336323054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107070218",
"telephone_number": "718-684-6209",
"fax_number": "718-684-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2426 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104695947",
"telephone_number": "718-684-6209",
"fax_number": "718-684-6212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTCHESTER GASTROENTEROLOGY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "KIYICI",
"authorized_official_first_name": "NEJAT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-684-6209",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "210969",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "221502",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02242551",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02194838",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- East Tremont Foot Care PLLC
- East Tremont Medical PC
- East Tremont Optical
- East Tremont RX Inc (East Tremont Pharmacy)
- East Tremont Vascular Health Care, PLLC
- Eastchester Medical Associates, PC
- Eastchester Rehabilitation and Health Care Center LLC
- Eastchester's Forever Young Social Adult Day Care, Inc
- Liam Easton-Calabria, PA-C
- Betsy Eaton, LMT, NCBTMB
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.