Organization Active NPI

Digestive Disease Associates, PC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1366432940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6044662 Issued in NY
Legal business name
DIGESTIVE DISEASE ASSOCIATES, PC
Practice address
705 86TH St
Brooklyn, NY 11228-3232
Phone
(718) 980-9898
Fax
(718) 980-9897
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pretam Rampersaud, M.D.
Title
M.D.
Phone
(718) 980-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 6044662 NY Primary

Addresses

Primary practice location

705 86TH St
Brooklyn, NY 11228-3232

Mailing address

PO Box 61179
Staten Island, NY 10306-7179
Phone (718) 980-9898

Other identifiers 2

IdentifierTypeStateIssuer
02531973MedicaidNY
2401185OtherGHI

National Provider Directory

National Provider Directory

Locations

616 Washington St
Toms River, NJ 08753
Phone (732) 244-4114

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366432940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61179",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103067179",
            "telephone_number": "718-980-9898",
            "fax_number": "718-980-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283232",
            "telephone_number": "718-980-9898",
            "fax_number": "718-980-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMPERSAUD",
        "authorized_official_first_name": "PRETAM",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-980-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "6044662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02531973",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2401185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.