Organization Active NPI

Nslij Western Suffolk Gastroenterology

  • Medical Specialty Clinic/Center
  • Bay Shore, NY
National Provider Identifier
1821410879
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
257505 Issued in NY
Legal business name
NSLIJ WESTERN SUFFOLK GASTROENTEROLOGY
Practice address
375 E Main Street
Suite 21
Bay Shore, NY 11706
Phone
(631) 968-8288
NPI assigned
Jan 10, 2014
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Stuart Akerman, MD
Title
MD
Phone
(631) 968-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 257505 NY Primary

Addresses

Primary practice location

375 E Main Street
Suite 21
Bay Shore, NY 11706

Mailing address

375 E Main St
Suite 21
Bay Shore, NY 11706-8418

National Provider Directory

National Provider Directory

Locations

375 E Main St
Ste 21
Bay Shore, NY 11706
Phone (516) 968-8288

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1821410879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "SUITE 21",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E MAIN STREET",
            "address_2": "SUITE 21",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSLIJ WESTERN SUFFOLK GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "AKERMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-968-8288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "257505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.