Empire State Colon & Rectal Surgery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

275077 Issued in NY

Legal business name

EMPIRE STATE COLON & RECTAL SURGERY, LLC

Practice address

1928 Bay Ave
Suite 200
Brooklyn, NY 11230-6214

Phone

(718) 676-2449

Fax

(718) 676-2450

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Hans C Burkholder, MD

Title

Sole Member

Phone

(718) 676-2449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1376940072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 BAY AVE",
            "address_2": "SUITE 200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306214",
            "telephone_number": "718-676-2449",
            "fax_number": "718-676-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 BAY AVE",
            "address_2": "SUITE 200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306214",
            "telephone_number": "718-676-2449",
            "fax_number": "718-676-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE COLON & RECTAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "718-676-2449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "275077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.