Gold Coast Gastroenterology P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

220299 Issued in NY

Legal business name

GOLD COAST GASTROENTEROLOGY P.C.

Practice address

237 Jericho Tpke
Syosset, NY 11791-4513

Phone

(516) 802-7555

Fax

(516) 802-7550

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kostas Sideridis, D.O

Title

Owner

Phone

(516) 802-7555

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

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.

• Mary S Cheung, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1114243219
  Medicare reassignment NPD
• Steven Guttmann, M.D.

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1942438700
  Medicare reassignment NPD
• Mitanshu Shah, M.D.

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1215240221
  Medicare reassignment NPD
• Faisal Sheikh, D.O.

  • Gastroenterology Physician
  • Syosset, NY
  • NPI 1114188000
  Medicare reassignment NPD
• Michael Ashamalla

  • Gastroenterology Physician
  • Syosset, NY
  • NPI 1427589423
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1528467685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914513",
            "telephone_number": "516-802-7555",
            "fax_number": "516-802-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914513",
            "telephone_number": "516-802-7555",
            "fax_number": "516-802-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST GASTROENTEROLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SIDERIDIS",
        "authorized_official_first_name": "KOSTAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-802-7555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "238095",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "220299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Joy Glassgold, M.S.
• Robin J Glick, MS, CCC-SP
• Denise Jean Glynn, MA.CCC.SLP
• Kyle Godden, PA-C
• Victoria Godino
• Gold Coast Medical P C
• Gold Coast Oral and Maxillofacial Surgery Syosset PLLC (Gold Coast Oral and Maxillofacial Surgery)
• Arthur Goldberg, D.C.
• Brian Scott Goldberg, DC
• Jeffrey Alan Goldberg, D.D.S.

• Gastroenterology Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.