Organization Active NPI

Ae&Ly Ambulatory Endoscopy PLLC

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1609019819
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
AE&LY AMBULATORY ENDOSCOPY PLLC
Practice address
13252 41St Ave Apt MC
Flushing, NY 11355-5847
Phone
(718) 321-3262
Fax
(718) 321-3263
NPI assigned
Apr 17, 2009
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sally Chu
Title
Billing Manager
Phone
(718) 321-3262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

13252 41St Ave Apt MC
Flushing, NY 11355-5847

Mailing address

13252 41St Ave Apt MC
Flushing, NY 11355-5847
Phone (718) 321-3262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091020000234 NY Part B Supplier - Clinic/Group Practice 3870630130 Receives reassigned benefits from 14 practitioners
Practice locations: Huntington, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

13633 37th Ave
#7
Flushing, NY 11354

13633 37th Ave
Fl 7
Flushing, NY 11354
Phone (718) 321-3262

13633 37th Ave
Ste 7
Flushing, NY 11354

1800 E Jericho Tpke
Huntington, NY 11743

1880 E Jericho Tpke
#1A
Huntington, NY 11743
Phone (631) 629-4628

1880 E Jericho Tpke
Fl 1A
Huntington, NY 11743
Phone (631) 629-4628

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1609019819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13252 41ST AVE APT MC",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555847",
            "telephone_number": "718-321-3262",
            "fax_number": "718-321-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13252 41ST AVE APT MC",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555847",
            "telephone_number": "718-321-3262",
            "fax_number": "718-321-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AE&LY AMBULATORY ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-321-3262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.

Verify at the official NPI Registry.