NPIMap

Organization Active NPI

Sanford Endoscopy PLLC

  • Endoscopy Clinic/Center
  • Flushing, NY
National Provider Identifier
1356676217
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
198622 Issued in NY
Legal business name
SANFORD ENDOSCOPY PLLC
Practice address
13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5800
Phone
(718) 461-9779
NPI assigned
Oct 11, 2009
Last updated
Jun 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Che-Nan Chuang, M.D.NPI 1942287792
Title
Member
Phone
(718) 461-9779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 198622 NY Primary

Addresses

Primary practice location

13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5800

Mailing address

13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5800
Phone (718) 461-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100630000009 NY Part B Supplier - Clinic/Group Practice 8921139254 Receives reassigned benefits from 4 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1255219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1356676217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-461-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-461-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-11",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "CHE-NAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-461-9779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "198622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.