Gastroenterology Care of Li PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

135237-1 Issued in NY

Legal business name

GASTROENTEROLOGY CARE OF LI PC

Practice address

94 Gardiners Ave
#334
Levittown, NY 11756-3705

Phone

(631) 271-9151

Fax

(631) 271-9155

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Bernard Stark, M.D.NPI 1063572113

Title

Owner

Phone

(631) 271-9151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernard Stark, MD

  • Gastroenterology Physician
  • Manhasset, NY
  • NPI 1063572113
  Medicare reassignment NPD Authorized official
• Laura Ploetzke, ANP

  • Adult Health Nurse Practitioner
  • Farmingdale, NY
  • NPI 1356402473
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1881009447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GARDINERS AVE",
            "address_2": "#334",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563705",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GARDINERS AVE",
            "address_2": "#334",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563705",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CARE OF LI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "135237-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "135237-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josefina Garcia, LMT
• Reinaldo Garcia
• Gardiners Chiropractic, PC
• Marvin Sidney Garelick, DO
• Christopher A Garofalo, BCBA, LBA
• Kettly Gauchier
• Walter James Gaudino, M.D.
• Adina Geller, MD
• Rebecca M Gersbeck
• Anastasia Joy Gerver, LPN

• Gastroenterology Physician in Levittown, NY
• Providers in Levittown, 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 Jun 23, 2014; 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.

Verify at the official NPI Registry.