Active NPI
Atlantic Gastrointestinal Pathology PC
- Anatomic Pathology Physician
- Franklin Lakes, NJ
National Provider Identifier
1528829496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- Legal business name
- ATLANTIC GASTROINTESTINAL PATHOLOGY PC
- Practice address
- 700 High Woods Dr
Franklin Lakes, NJ 07417-2255 - Phone
- (516) 567-5410
- NPI assigned
- Jan 18, 2024
- 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. Boris Chusid, MD
- Title
- Owner
- Phone
- (201) 289-1121
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | Primary |
Addresses
Primary practice location
700 High Woods Dr
Franklin Lakes, NJ 07417-2255
Mailing address
PO Box 86
Jericho, NY 11753-0086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Franklin Lakes, NJ
- NPI 1518967769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1528829496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "JERICHO",
"state": "NY",
"postal_code": "117530086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HIGH WOODS DR",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074172255",
"telephone_number": "516-567-5410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC GASTROINTESTINAL PATHOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "CHUSID",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-289-1121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.