Organization Active NPI

Capsule Endoscopy, P.C.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1548434764
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
171183 Issued in NY
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01136727MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.