Organization Active NPI

Gastroenterology Associates, LLP

  • Gastroenterology Physician
  • Williamsville, NY
National Provider Identifier
1740259647
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES, LLP
Practice address
60 Maple Rd
Ste 1
Williamsville, NY 14221-2917
Phone
(716) 626-5283
Fax
(716) 332-2218
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Barbara A Fleissner
Title
Credentialing Specialist
Phone
(716) 626-5250

Specialties & licenses 1

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

Addresses

Primary practice location

60 Maple Rd
Ste 1
Williamsville, NY 14221-2917

Mailing address

60 Maple Rd
Ste 1
Williamsville, NY 14221-2917
Phone (716) 626-5250

Other identifiers 2

IdentifierTypeStateIssuer
02052606MedicaidNY
2400834OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000952 NY Part B Supplier - Clinic/Group Practice 8820048085 Receives reassigned benefits from 33 practitioners
Practice locations: Niagara Falls, NY; Williamsville, NY; Orchard Park, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0861881Gastroenterology Associates LLP60 Maple Road, Suite 1, Williamsville, NY 14221Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

6934 Williams Rd
Ste 200
Niagara Falls, NY 14304
Phone (716) 297-8260

6935 Elaine Dr
Niagara Falls, NY 14304
Phone (716) 626-5250

220 Red Tail Rd
Ste 9
Orchard Park, NY 14127
Phone (716) 503-1740

250 Windward Dr
Ste 120
Orchard Park, NY 14127
Phone 7166265250224

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1740259647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAPLE RD",
            "address_2": "STE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212917",
            "telephone_number": "716-626-5250",
            "fax_number": "716-626-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAPLE RD",
            "address_2": "STE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212917",
            "telephone_number": "716-626-5283",
            "fax_number": "716-332-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "FLEISSNER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "716-626-5250"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02052606",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2400834",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.

Verify at the official NPI Registry.