Massapequa Gastroenterology Assoc LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MASSAPEQUA GASTROENTEROLOGY ASSOC LLC

Practice address

850 Hicksville Rd
Suite #100
Seaford, NY 11783

Phone

(516) 796-9000

Fax

(516) 796-6360

NPI assigned

Oct 17, 2005

Last updated

Aug 22, 2020By 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

Janice A Herron

Title

Office MGR

Phone

(516) 796-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568451243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD",
            "address_2": "SUITE #100",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "11783",
            "telephone_number": "516-796-9000",
            "fax_number": "516-796-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD",
            "address_2": "SUITE #100",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "11783",
            "telephone_number": "516-796-9000",
            "fax_number": "516-796-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA GASTROENTEROLOGY ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "516-796-9000"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Martinez
• James Martucci, LCSW
• Kathryn Martz, M.S.ED
• Robert H Mashioff, MD
• Massage of Yang Du PC
• Massapequa Internal Medicine Associates PC
• Kelli Mastellon, LMSW
• Jaclyn Paige Matty
• Andrea Mazziotti, LMSW
• Jennifer McAteer

• Gastroenterology Physician in Seaford, NY
• Providers in Seaford, 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 22, 2020; 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.