Digestive Health Medical Assoc. PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

131009 Issued in NY

Legal business name

DIGESTIVE HEALTH MEDICAL ASSOC. PC

Practice address

114 Birch Dr
New Hyde Park, NY 11040-2320

Phone

(516) 741-7769

Fax

(516) 877-2012

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Richard Lawrence Bronzo, M.D.

Title

President

Phone

(516) 466-5166

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Rajiv Bansal, MD

  • Gastroenterology Physician
  • New Hyde Park, NY
  • NPI 1679653307
  NPD (past)
• John Michael Costable Jr., MD

  • Gastroenterology Physician
  • Great Neck, NY
  • NPI 1043251184
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1629106885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BIRCH DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402320",
            "telephone_number": "516-741-7769",
            "fax_number": "516-877-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BIRCH DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402320",
            "telephone_number": "516-741-7769",
            "fax_number": "516-877-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH MEDICAL ASSOC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "BRONZO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-466-5166",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "131009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dickson, PA-C
• Paul Anthony Dicpinigaitis, MD
• Gabrielle Didonato, PA-C
• Cesar Augusto Dieguez
• Harry Dietrich, PT
• Digestive Medicine of Long Island, PLLC
• Digitaloptometrics, LLC
• Digitrace Care Services Inc
• Digitrace Care Services Inc.
• Olivia Digiulio, CCC-SLP

• Gastroenterology Physician in New Hyde Park, NY
• Providers in New Hyde Park, 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 Sep 27, 2011; 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.