PGKS Management Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PGKS MANAGEMENT INC

Practice address

305 Seguine Ave
Staten Island, NY 10309-3709

Phone

(718) 227-1282

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Pretam Rampersaud, MD

Title

Owner

Phone

(718) 227-1282

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1912325457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330413",
            "telephone_number": "718-317-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093709",
            "telephone_number": "718-227-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGKS MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "RAMPERSAUD",
        "authorized_official_first_name": "PRETAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-227-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Petrullo
• Thomas Petti, RN
• David R. Pfaff, M.D.
• John Pfeiffer, PT
• Daniel Pfleging, L.AC
• Pharmacy on Bay Street Inc.
• David Phelps
• Kendra S. Phelps, LMSW
• Phildov Anesthesiology Group PC
• Annamma Philip, RN

• Gastroenterology Physician in Staten Island, NY
• Providers in Staten Island, 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 26, 2015; 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.