Advanced Gastroenterology Affiliates PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME72852 Issued in FL

Legal business name

ADVANCED GASTROENTEROLOGY AFFILIATES PA

Practice address

7448 Docs Grove Cir
Suite 200
Orlando, FL 32819-8010

Phone

(407) 352-1303

Fax

(407) 352-3833

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mohammed Naeem Moon, MDNPI 1578509329

Title

President

Phone

(407) 352-1303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Advanced Gastroenterology Affiliates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Gastroenterology Affiliates, Inc

  • Non-Pharmacy Dispensing Site
  • Orlando, FL
  • NPI 1699037879
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Gastroenterology Affiliates, Inc

  • Non-Pharmacy Dispensing Site
  • Orlando, FL
  • NPI 1699037879
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Naeem Moon, MD

  • Gastroenterology Physician
  • Orlando, FL
  • NPI 1578509329
  Medicare reassignment Care Compare group NPD Authorized official
• Nabeel Umer Moon

  • Gastroenterology Physician
  • Orlando, FL
  • NPI 1982109310
  Medicare reassignment Care Compare group NPD
• Nilofar J Ali, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Longwood, FL
  • NPI 1861585648
  Medicare reassignment NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1376572644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 DOCS GROVE CIR",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198010",
            "telephone_number": "407-352-1303",
            "fax_number": "407-352-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 DOCS GROVE CIR",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198010",
            "telephone_number": "407-352-1303",
            "fax_number": "407-352-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GASTROENTEROLOGY AFFILIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "NAEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-352-1303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME72852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Dental Care Colonial PL
• Advanced Dental Wellness P.a.
• Advanced Dermatology Care SC
• Advanced Diabetes & Endocrine Medical Center
• Advanced Esthetic Dentistry, PA
• Advanced Gastroenterology Affiliates, Inc
• Advanced Gynecology of Central Florida P a
• Advanced Health Centers Inc
• Advanced Healthy Hair
• Advanced Home Care & Companions, Inc.

• Gastroenterology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.