NPIMap

Organization Active NPI

Elmhurst Queens Gastroenterology and Hepatology Medical Consultant P.C

  • Gastroenterology Physician
  • Elmhurst, NY
National Provider Identifier
1750794657
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
251177 Issued in NY
Legal business name
ELMHURST QUEENS GASTROENTEROLOGY AND HEPATOLOGY MEDICAL CONSULTANT P.C
Practice address
8708 Justice Ave Ste C6
Elmhurst, NY 11373-4590
Phone
(646) 286-6921
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Dr. Chuansheng Wang, M.DNPI 1124286034
Title
President
Phone
(646) 286-6921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 251177 NY
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 251177 NY Primary

Addresses

Primary practice location

8708 Justice Ave Ste C6
Elmhurst, NY 11373-4590

Mailing address

8708 Justice Ave Ste C6
Elmhurst, NY 11373-4590

Other names 1

  • Elmhurst Digestive and Liver Diseases Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140625001121 NY Part B Supplier - Clinic/Group Practice 4082839592 Receives reassigned benefits from 6 practitioners
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

8708 Justice Ave
Ste C6
Elmhurst, NY 11373
Phone (646) 286-6921

Practitioners & affiliated clinicians

Practitioners 8

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": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1750794657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE STE C6",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE STE C6",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734590",
            "telephone_number": "646-286-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST QUEENS GASTROENTEROLOGY AND HEPATOLOGY MEDICAL CONSULTANT P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHUANSHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-286-6921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251177",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "251177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmhurst Digestive and Liver Diseases",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.