Active NPI
Gastrointestinal Specialist of Long Island, P.C.
- Specialist
- Wantagh, NY
National Provider Identifier
1538242565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GASTROINTESTINAL SPECIALIST OF LONG ISLAND, P.C.
- Practice address
- 3019 Merrick Rd
Wantagh, NY 11793-4329 - Phone
- (516) 785-8075
- Fax
- (516) 785-8139
- NPI assigned
- Oct 23, 2006
- 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
- Arthur Boshnack, M.D.
- Title
- Owner/President
- Phone
- (516) 785-8075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3019 Merrick Rd
Wantagh, NY 11793-4329
Mailing address
3019 Merrick Rd
Wantagh, NY 11793-4329
Phone (516) 785-8075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0159800 | Gastrointestinal Specialist of Long Island PC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/BGHFDD
Practitioners & 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
- Wantagh, NY
- NPI 1609002229
-
- Specialist
- Wantagh, NY
- NPI 1700969714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1538242565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 MERRICK RD",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117934329",
"telephone_number": "516-785-8075",
"fax_number": "516-785-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 MERRICK RD",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117934329",
"telephone_number": "516-785-8075",
"fax_number": "516-785-8139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROINTESTINAL SPECIALIST OF LONG ISLAND, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "BOSHNACK",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "516-785-8075",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.