Jericho Ambulatory Endoscopy , PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

204609 Issued in NY

Legal business name

JERICHO AMBULATORY ENDOSCOPY , PLLC

Practice address

1880 E Jericho Tpke
1F/L
Huntington, NY 11743

Phone

(631) 629-4628

Fax

(631) 629-4629

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Alan C Yao

Title

M.D.

Phone

(631) 629-4628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1356669170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E JERICHO TPKE",
            "address_2": "1F/L",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-629-4628",
            "fax_number": "631-629-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E JERICHO TPKE",
            "address_2": "1F/L",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-629-4628",
            "fax_number": "631-629-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO AMBULATORY ENDOSCOPY , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "631-629-4628",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "204609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liat J Jarkon, D.O.
• Kira Michelle Jarrar, ATC, PT, DPT
• Jas Physical Therapy PLLC
• Paige Jelinek
• Cristina Jeon, PHARM D
• Jericho Endoscopy , PLLC
• Edwyne Jeudy Matthews
• Ruth Katyna Jeudy Taro
• Isma Jilani
• Julianne Jimenez, LMSW

• Ambulatory Surgical Clinic/Center in Huntington, NY
• Providers in Huntington, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.