Organization Active NPI

Salil P Marfatia MD PC

  • Gastroenterology Physician
  • Rego Park, NY
National Provider Identifier
1629066949
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
185108 Issued in NY
Legal business name
SALIL P MARFATIA MD PC
Practice address
9229 Queens Blvd
Suite 1-a
Rego Park, NY 11374-1056
Phone
(718) 897-5700
Fax
(718) 897-2087
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Salil P Marfatia, MDNPI 1124167622
Title
Owner
Phone
(718) 897-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 185108 NY Primary

Addresses

Primary practice location

9229 Queens Blvd
Suite 1-a
Rego Park, NY 11374-1056

Mailing address

8625 Edgerton Blvd
Jamaica, NY 11432-2936
Phone (718) 298-6575

Other identifiers 3

IdentifierTypeStateIssuer
01366930MedicaidNY
2503394OtherNYGHI
006AS1OtherNYBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000560 NY Part B Supplier - Clinic/Group Practice 7214195312 Receives reassigned benefits from 2 practitioners
Practice locations: South Richmond Hill, NY; Rego Park, NY; Jackson Heights, NY; Flushing, NY; Forest Hills, NY; Elmhurst, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1629066949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 EDGERTON BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322936",
            "telephone_number": "718-298-6575",
            "fax_number": "718-657-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD",
            "address_2": "SUITE 1-A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741056",
            "telephone_number": "718-897-5700",
            "fax_number": "718-897-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIL P MARFATIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "MARFATIA",
        "authorized_official_first_name": "SALIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-897-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "185108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01366930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2503394",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "006AS1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.