Organization Active NPI

Sheepshead Bay Endoscopy and Associates, PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1861658908
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SHEEPSHEAD BAY ENDOSCOPY AND ASSOCIATES, PLLC
Practice address
2211 Emmons Ave
Brooklyn, NY 11235-2792
Phone
(718) 368-2960
Fax
(718) 368-2249
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Scott Mitchel Tenner, M.D.
Title
Medical Director
Phone
(718) 368-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2211 Emmons Ave
Brooklyn, NY 11235-2792

Mailing address

2211 Emmons Ave
Brooklyn, NY 11235-2792
Phone (718) 368-2960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1861658908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "718-368-2960",
            "fax_number": "718-368-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "718-368-2960",
            "fax_number": "718-368-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPSHEAD BAY ENDOSCOPY AND ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "TENNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MITCHEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-368-2960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.