Active NPI
Digestive Care and Endoscopy, PLLC
- Legal Medicine
- Forest Hills, NY
National Provider Identifier
1659827285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 229243
- Legal business name
- DIGESTIVE CARE AND ENDOSCOPY, PLLC
- Practice address
- 10816 72ND Avenue
2ND Floor
Forest Hills, NY 11375-5656 - Phone
- (718) 261-0900
- Fax
- (718) 261-0944
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Davidoff, MD
- Title
- President
- Phone
- (718) 261-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 229243 | NY | Primary |
Addresses
Primary practice location
10816 72ND Avenue
2ND Floor
Forest Hills, NY 11375-5656
Mailing address
10816 72ND Ave
2ND Floor
Forest Hills, NY 11375-5653
Phone (718) 261-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02990382 | Medicaid | NY |
Other names 1
- DIGESTIVE CARE & ENDOSCOPY, PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1659827285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 72ND AVE",
"address_2": "2ND FLOOR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755653",
"telephone_number": "718-261-0900",
"fax_number": "718-261-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10816 72ND AVENUE",
"address_2": "2ND FLOOR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755656",
"telephone_number": "718-261-0900",
"fax_number": "718-261-0944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE CARE AND ENDOSCOPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "DAVIDOFF",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-261-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "NY",
"license": "229243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02990382",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DIGESTIVE CARE & ENDOSCOPY, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.