Active NPI
Gastroenterology Consultants of Long Island, PC
- Gastroenterology Physician
- New Hyde Park, NY
National Provider Identifier
1730120536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY CONSULTANTS OF LONG ISLAND, PC
- Practice address
- 2001 Marcus Ave
Suite E240
New Hyde Park, NY 11042-2061 - Phone
- (516) 673-4801
- Fax
- (516) 352-3680
- NPI assigned
- Jun 10, 2006
- 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. John M Costable, MD
- Title
- President
- Phone
- (516) 673-4801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
2001 Marcus Ave
Suite E240
New Hyde Park, NY 11042-2061
Mailing address
2001 Marcus Ave
Suite E240
New Hyde Park, NY 11042-2061
Phone (516) 673-4801
Other names 1
- JOHN M COSTABLE MD, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1024764 | Gastroenterology Consultants of Long Island, PC | Compliance | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/3699/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Lindenhurst, NY
- NPI 1740286111
-
- Anesthesiology Physician
- Valley Stream, NY
- NPI 1063517969
-
- Gastroenterology Physician
- New Hyde Park, NY
- NPI 1821040734
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1164537338
-
- Specialist
- Sleepy Hollow, NY
- NPI 1881669992
-
- Anatomic Pathology Physician
- Newark, NJ
- NPI 1831286921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1730120536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "SUITE E240",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422061",
"telephone_number": "516-673-4801",
"fax_number": "516-352-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "SUITE E240",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422061",
"telephone_number": "516-673-4801",
"fax_number": "516-352-3680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY CONSULTANTS OF LONG ISLAND, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "COSTABLE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-673-4801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JOHN M COSTABLE MD, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.