Active NPI
Farmingdale Endoscopy PLLC
- Endoscopy Clinic/Center
- Little Neck, NY
National Provider Identifier
1487938346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 178331
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Farmingdale Endoscopy PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- East Farmingdale, NY
- NPI 1962782300
-
- Endoscopy Clinic/Center
- East Farmingdale, NY
- NPI 1992027403
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.