Active NPI
Capsule Endoscopy, P.C.
- Gastroenterology Physician
- New York, NY
National Provider Identifier
1548434764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 171183
- Legal business name
- CAPSULE ENDOSCOPY, P.C.
- Practice address
- 3475 Broadway
New York, NY 10031-5628 - Phone
- (212) 862-9046
- NPI assigned
- Apr 18, 2008
- 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
- Francisco D. Bautista, M.D.
- Title
- President
- Phone
- (212) 862-9046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 171183 | NY | Primary |
Addresses
Primary practice location
3475 Broadway
New York, NY 10031-5628
Mailing address
3475 Broadway
New York, NY 10031-5628
Phone (212) 862-9046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01136727 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
3475 Broadway
New York, NY 10031
Phone (212) 862-9046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1548434764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315628",
"telephone_number": "212-862-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100315628",
"telephone_number": "212-862-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSULE ENDOSCOPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BAUTISTA",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-862-9046",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "171183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01136727",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.