Organization Active NPI

Farmingdale Endoscopy PLLC

  • Endoscopy Clinic/Center
  • Little Neck, NY
National Provider Identifier
1487938346
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
178331 Issued in NY
Legal business name
FARMINGDALE ENDOSCOPY PLLC
Practice address
245-02 Horace Harding Exp.
Little Neck, NY 11362
Phone
(718) 224-4100
Fax
(718) 224-4527
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Ronald C Fagan, MD
Title
President
Phone
(516) 650-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 178331 NY Primary

Addresses

Primary practice location

245-02 Horace Harding Exp.
Little Neck, NY 11362

Mailing address

1943 Vincent LN
Syosset, NY 11791-9629
Phone (516) 650-1800

Other names 1

  • Liittle Neck Endoscopy Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmingdale Endoscopy PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

24502 Horace Harding Expy
Little Neck, NY 11362
Phone (646) 616-0481

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1487938346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 VINCENT LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117919629",
            "telephone_number": "516-650-1800",
            "fax_number": "516-364-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245-02 HORACE HARDING EXP.",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-224-4100",
            "fax_number": "718-224-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGDALE ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-650-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "178331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liittle Neck Endoscopy Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.