Organization Active NPI

Metropolitan Gastroenterology PC

  • Gastroenterology Physician
  • Astoria, NY
National Provider Identifier
1528025756
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
METROPOLITAN GASTROENTEROLOGY PC
Practice address
23-18 31St St
Ste 300
Astoria, NY 11105
Phone
(718) 932-6000
Fax
(718) 932-3194
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Nicholas Roditis, MDNPI 1932104494
Title
President
Phone
(718) 932-6000

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 Primary

Addresses

Primary practice location

23-18 31St St
Ste 300
Astoria, NY 11105

Mailing address

23-18 31St St
Ste 300
Astoria, NY 11105
Phone (718) 932-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706000436 NY Part B Supplier - Clinic/Group Practice 6406833722 Receives reassigned benefits from 4 practitioners
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Locations

2318 31st St
#220
Astoria, NY 11105
Phone (718) 932-6000

3010 38th St
#2
Astoria, NY 11103
Phone (718) 932-6000

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1528025756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-18 31ST ST",
            "address_2": "STE 300",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-932-6000",
            "fax_number": "718-932-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-18 31ST ST",
            "address_2": "STE 300",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-932-6000",
            "fax_number": "718-932-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "RODITIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-932-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.