Organization Active NPI

Eastchester Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1336323054
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
210969 Issued in NY
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02242551MedicaidNY
02194838MedicaidNY

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.