Organization Active NPI

Accredited Endoscopy Services Obs, PC

  • Endoscopy Clinic/Center
  • New Hyde Park, NY
National Provider Identifier
1619173168
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
ACCREDITED ENDOSCOPY SERVICES OBS, PC
Practice address
2001 Marcus Ave
Ste E240
New Hyde Park, NY 11042-1011
Phone
(516) 673-4801
Fax
(516) 673-4804
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. John Michael Costable, M.D.
Title
President
Phone
(516) 673-4801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

2001 Marcus Ave
Ste E240
New Hyde Park, NY 11042-1011

Mailing address

2001 Marcus Ave
Ste E240
New Hyde Park, NY 11042-1011
Phone (516) 673-4801

National Provider Directory

National Provider Directory

Locations

2001 Marcus Ave
Ste E240
New Hyde Park, NY 11042
Phone (516) 502-2308

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1619173168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STE E240",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-673-4801",
            "fax_number": "516-673-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STE E240",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-673-4801",
            "fax_number": "516-673-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED ENDOSCOPY SERVICES OBS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "COSTABLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-673-4801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.