Active NPI
Premier Gastroenterology & Endoscopy PLLC
- Gastroenterology Physician
- Flushing, NY
National Provider Identifier
1720378318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 151095
- Legal business name
- PREMIER GASTROENTEROLOGY & ENDOSCOPY PLLC
- Practice address
- 41-61 Kissena Blvd.
Flushing, NY 11355 - Phone
- (718) 461-6212
- Fax
- (718) 539-1238
- NPI assigned
- Apr 15, 2011
- 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
- Chang Ho Suk, M.D.
- Title
- President
- Phone
- (718) 461-6212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 151095 | NY | Primary |
Addresses
Primary practice location
41-61 Kissena Blvd.
Flushing, NY 11355
Mailing address
41-61 Kissena Blvd.
Flushing, NY 11355
Phone (718) 461-6212
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302825600000",
"number": "1720378318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-61 KISSENA BLVD.",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-461-6212",
"fax_number": "718-539-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41-61 KISSENA BLVD.",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-461-6212",
"fax_number": "718-539-1238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER GASTROENTEROLOGY & ENDOSCOPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A",
"authorized_official_last_name": "SUK",
"authorized_official_first_name": "CHANG HO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-461-6212",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "151095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
- Precision Cardiovascular Care, PLLC
- Precision Optometry PLLC
- Preferred Family Footcare, LLP
- Cerys Preisner
- Premier DME LLC
- Premier One Pharmacy Inc. (Premium Pharmacy)
- Premier Vision Consultants, LLC (nuEyes)
- Premiere Adult Daycare LLC
- Premise Health of New York Medical PC (Premise Health Clinic)
- Premise Health of New York Medical, P.C (New York Times Occupational Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.