Advanced Gastroenterology Affiliates, Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

ADVANCED GASTROENTEROLOGY AFFILIATES, INC

Practice address

7448 Docs Grove Cir
Suite 200
Orlando, FL 32819-8010

Phone

(407) 352-1303

NPI assigned

Jun 13, 2012

Organization subpart

Yes

Parent organization

ADVANCED GASTROENTEROLOGY AFFILIATES, INCAs reported in NPPES

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

Authorized official

Name

Dr. Mohammed N. Moon, MDNPI 1578509329

Title

Medical Director

Phone

(407) 352-1303

Specialties & licenses 1

Addresses

Tax ID family

Advanced Gastroent Affi2 organizations share this tax ID, including this one

Part of

Advanced Gastroent Affi

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Gastroenterology Affiliates PA

  • Gastroenterology Physician
  • Orlando, FL
  • NPI 1376572644
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Advanced Gastroenterology Affiliates PA

  • Gastroenterology Physician
  • Orlando, FL
  • NPI 1376572644
  NPPES parent name

Practitioners 1

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.

• Mohammed Naeem Moon, MD

  • Gastroenterology Physician
  • Orlando, FL
  • NPI 1578509329
  NPD Authorized official

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1699037879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 DOCS GROVE CIR",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198010",
            "telephone_number": "407-352-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GASTROENTEROLOGY AFFILIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED GASTROENTEROLOGY AFFILIATES, INC",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-352-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Orlando, FL
• Providers in Orlando, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.