NPIMap

Organization Active NPI

East Coast Gastroenterology and Endoscopy PC

  • Gastroenterology Physician
  • Patchogue, NY
National Provider Identifier
1518459569
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
270874 Issued in NY
Legal business name
EAST COAST GASTROENTEROLOGY AND ENDOSCOPY PC
Practice address
153 N Ocean Ave
Patchogue, NY 11772-2018
Phone
(631) 714-4444
Fax
(631) 605-7373
NPI assigned
Jun 5, 2018
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Christopher Tomaino, MDNPI 1558594960
Title
Authorized Official
Phone
(631) 714-4444

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 Physician 207RG0100X 270874 NY Primary

Addresses

Primary practice location

153 N Ocean Ave
Patchogue, NY 11772-2018

Mailing address

153 N Ocean Ave
Patchogue, NY 11772-2018
Phone (631) 714-4444

Other identifiers 1

IdentifierTypeStateIssuer
270874OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627000668 NY Part B Supplier - Clinic/Group Practice 3274889662 Receives reassigned benefits from 9 practitioners
Practice locations: Port Jefferson, NY; Patchogue, 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
33D2341177East Coast Gastroenterology & Endoscopy PC153 N Ocean Avenue, Patchogue, NY 11772RegistrationMar 27, 2028

National Provider Directory

National Provider Directory

Locations

153 N Ocean Ave
Patchogue, NY 11772
Phone (631) 714-4444

200 Belle Terre Rd
Ste 400
Port Jefferson Station, NY 11777
Phone (631) 403-4507

10 Berkshire Rd
West Babylon, NY 11704
Phone (631) 587-0600

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1518459569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722018",
            "telephone_number": "631-714-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722018",
            "telephone_number": "631-714-4444",
            "fax_number": "631-605-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST GASTROENTEROLOGY AND ENDOSCOPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "TOMAINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "631-714-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "270874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "270874",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.