NPIMap

Organization Active NPI

Center for Digestive Disease

  • Specialist
  • Englewood, FL
National Provider Identifier
1902007693
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME40189 Issued in FL
Legal business name
CENTER FOR DIGESTIVE DISEASE
Practice address
900 Pine St Ste 215
Englewood, FL 34223-4458
Phone
(941) 475-5672
Fax
(941) 473-1456
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Jay Raja, MDNPI 1215043682
Title
Owner
Phone
(941) 475-5672

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME40189 FL Primary

Addresses

Primary practice location

900 Pine St Ste 215
Englewood, FL 34223-4458

Mailing address

900 Pine St Ste 215
Englewood, FL 34223-4458
Phone (941) 475-5672

National Provider Directory

National Provider Directory

Locations

900 Pine St
Ste 218
Englewood, FL 34223
Phone (941) 475-5672

900 Pine St
Ste 215
Englewood, FL 34223
Phone (941) 475-5672

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1902007693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 215",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-475-5672",
            "fax_number": "941-473-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 215",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-475-5672",
            "fax_number": "941-473-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIGESTIVE DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-475-5672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME40189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.