Organization Active NPI

Lighthouse Endoscopy, PC

  • Gastroenterology Physician
  • Commack, NY
National Provider Identifier
1437501541
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
153441 Issued in NY
Legal business name
LIGHTHOUSE ENDOSCOPY, PC
Practice address
1092 Jericho Tpke
2S
Commack, NY 11725-3003
Phone
(631) 543-8660
Fax
(800) 557-3140
NPI assigned
Jul 13, 2016
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Dr. Richard Feldstein, M.D.NPI 1851533699
Title
Physician/Owner
Phone
(631) 543-8660

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 153441 NY Primary

Addresses

Primary practice location

1092 Jericho Tpke
2S
Commack, NY 11725-3003

Mailing address

1092 Jericho Tpke
2S
Commack, NY 11725-3003
Phone (631) 543-8660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161117000438 NY Part B Supplier - Clinic/Group Practice 3072892975 Receives reassigned benefits from 23 practitioners
Practice locations: Commack, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2092998Lighthouse Endoscopy PC1092 Jericho Turnpike, Suite 2, Commack, NY 11725ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1092 Jericho Tpke
Ste 2S
Commack, NY 11725
Phone (631) 543-8660

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1437501541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 JERICHO TPKE",
            "address_2": "2S",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253003",
            "telephone_number": "631-543-8660",
            "fax_number": "800-557-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 JERICHO TPKE",
            "address_2": "2S",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253003",
            "telephone_number": "631-543-8660",
            "fax_number": "800-557-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ENDOSCOPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "FELDSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "631-543-8660",
        "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": "153441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.