Five Towns Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

FIVE TOWNS GASTROENTEROLOGY

Practice address

657 Central Ave
Suite 2
Cedarhurst, NY 11516-2320

Phone

(516) 374-0670

Fax

(516) 569-7140

NPI assigned

Jul 24, 2014

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay S Fenster, MDNPI 1467434126

Title

Authorized Rep/Owner

Phone

(516) 374-0670

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Samuel Fenster, MD

  • Gastroenterology Physician
  • Cedarhurst, NY
  • NPI 1467434126
  Medicare reassignment Care Compare group NPD Authorized official
• Marc Fenster, MD

  • Gastroenterology Physician
  • Cedarhurst, NY
  • NPI 1144751595
  Medicare reassignment Care Compare group NPD
• Joseph A Ilasi, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Uniondale, NY
  • NPI 1740312818
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1841608601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162320",
            "telephone_number": "516-374-0670",
            "fax_number": "516-569-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162320",
            "telephone_number": "516-374-0670",
            "fax_number": "516-569-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE TOWNS GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "FENSTER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "516-374-0670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Fiani, BCBA
• Fifth Podiatry LLC
• Suri Fineberg, SLP, MS, TSHH
• Dov Finman, PSY.D.
• Five Towns Chiropractic Care, P.C.
• Five Towns Heart Imaging Medical P.C.
• Five Towns Heart Imaging Medical, PC
• Five Towns Imaging Medical PC
• Five Towns Medicine, P.C. (Five Towns Medicine and Cardiology)
• Five Towns Medicine, PC

• Gastroenterology Physician in Cedarhurst, NY
• Providers in Cedarhurst, 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 Jan 19, 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.