Gastroenterolgy of Eastern Long Island LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

194726 Issued in NY

Legal business name

GASTROENTEROLGY OF EASTERN LONG ISLAND LLC

Practice address

325 Meeting House LN
BLDG 2
Southampton, NY 11968-5087

Phone

(631) 283-5555

Fax

(631) 283-0345

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Steve K Georgopoulos, M.D.

Title

Owner

Phone

(631) 283-5555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1821284902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5004",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119695004",
            "telephone_number": "631-283-5555",
            "fax_number": "631-283-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MEETING HOUSE LN",
            "address_2": "BLDG 2",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685087",
            "telephone_number": "631-283-5555",
            "fax_number": "631-283-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLGY OF EASTERN LONG ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "GEORGOPOULOS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-283-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "194726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Maria Ganeshalingam, D.O.
• Sarah N Gardella, MS RD CDN
• Juan J Gargiulo, MD
• Kendall Nicole Garrett, MD
• Paul Garson, M.D.
• Dana Geller, MS PT DPT
• Dmitriy Generalov, DO
• Geomare Wellness Center LLC
• Adam Gerszberg, PHD, LCSW
• Gurpreet Gill, M.D

• Gastroenterology Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.