Islandwide Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

233299 Issued in NY

Legal business name

ISLANDWIDE GASTROENTEROLOGY PC

Practice address

901 Stewart Ave
Suite 240
Garden City, NY 11530-4893

Phone

(516) 458-6258

Fax

(631) 223-2271

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Philip Raymond Cassar, M.D.NPI 1891868857

Title

Ceo

Phone

(516) 458-6258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

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

• Philip Raymond Cassar, M.D.

  • Gastroenterology Physician
  • Garden City, NY
  • NPI 1891868857
  Medicare reassignment Care Compare group NPD Authorized official
• Robert J Bonasera, M.D.

  • Gastroenterology Physician
  • Garden City, NY
  • NPI 1073537767
  Medicare reassignment Care Compare group NPD
• Qinghu Ren

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1376773978
  Medicare reassignment Care Compare group NPD
• Aditya Marwaha, D.O.

  • Anesthesiology Physician
  • Tucker, GA
  • NPI 1811122716

  NY

  Medicare reassignment Care Compare group NPD
• Seema Patel, D.O.

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1730314535

  NY

  Medicare reassignment Care Compare group NPD
• Julio Kiwoong Kim, DO

  • Anesthesiology Physician
  • Oceanside, NY
  • NPI 1831357698
  Medicare reassignment NPD
• Kenneth Levine

  • Anesthesiology Physician
  • Oceanside, NY
  • NPI 1083677454
  Medicare reassignment NPD
• Daniel J Ulicny

  • Anesthesiology Physician
  • Oceanside, NY
  • NPI 1043273402
  Medicare reassignment NPD
• Zhanqing Yan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • West Islip, NY
  • NPI 1215929781
  Medicare reassignment NPD
• Eleazer Yousefzadeh, M.D.

  • Gastroenterology Physician
  • Garden City, NY
  • NPI 1700029485
  Medicare reassignment NPD

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1427290907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAURICE LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431843",
            "telephone_number": "516-458-6258",
            "fax_number": "631-223-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 240",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-458-6258",
            "fax_number": "631-223-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDWIDE GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-458-6258",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "233299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.