Organization Active NPI

Mekala Ramgopal PC

  • Gastroenterology Physician
  • Far Rockaway, NY
National Provider Identifier
1730307000
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
138691 Issued in NY
Legal business name
MEKALA RAMGOPAL PC
Practice address
2124 Camp Rd
Far Rockaway, NY 11691-2721
Phone
(516) 431-2656
Fax
(516) 432-8484
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Mekala Ramgopal, M.D.
Title
President
Phone
(516) 431-2656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 138691 NY Primary

Addresses

Primary practice location

2124 Camp Rd
Far Rockaway, NY 11691-2721

Mailing address

82 Regent Dr
Lido Beach, NY 11561-4923
Phone (516) 431-2656

Other identifiers 1

IdentifierTypeStateIssuer
00394069MedicaidNY

National Provider Directory

National Provider Directory

Locations

2124 Camp Rd
Far Rockaway, NY 11691
Phone (516) 431-2656

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1730307000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 REGENT DR",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614923",
            "telephone_number": "516-431-2656",
            "fax_number": "516-432-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CAMP RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912721",
            "telephone_number": "516-431-2656",
            "fax_number": "516-432-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEKALA RAMGOPAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "RAMGOPAL",
        "authorized_official_first_name": "MEKALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-431-2656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "138691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00394069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.