Active NPI
Gastrohealth Medical P.C.
- Gastroenterology Physician
- Jackson Heights, NY
National Provider Identifier
1851812440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROHEALTH MEDICAL P.C.
- Practice address
- 7134 Roosevelt Ave
Jackson Heights, NY 11372-6137 - Phone
- (347) 738-5700
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raghav Bansal, M.D.
- Title
- President
- Phone
- (347) 738-5700
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
7134 Roosevelt Ave
Jackson Heights, NY 11372-6137
Mailing address
63 Cresthollow LN
Albertson, NY 11507-1046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04816377 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6413 Broadway
Woodside, NY 11377
Phone (718) 205-6561
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEDHAD
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Elmhurst, NY
- NPI 1144547050
-
- Adult Health Nurse Practitioner
- Jackson Heights, NY
- NPI 1073873717
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1265595300
-
- Family Medicine Physician
- Corona, NY
- NPI 1356434310
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1194811521
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1215903430
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1275626210
-
- Internal Medicine Physician
- Kingston, NY
- NPI 1588617443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1851812440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 CRESTHOLLOW LN",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7134 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726137",
"telephone_number": "347-738-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROHEALTH MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-05",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A",
"authorized_official_last_name": "BANSAL",
"authorized_official_first_name": "RAGHAV",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-738-5700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04816377",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.