Premier Endoscopy Suites PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PREMIER ENDOSCOPY SUITES PC

Practice address

3620 E Tremont Ave
Suite 104
Bronx, NY 10465-2038

Phone

(718) 409-2902

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Rajiv Bansal, M.D.

Title

Owner

Phone

(718) 409-2902

Specialties & licenses 1

Addresses

Tax ID family

Premier Endoscopy Suites PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Endoscopy Suites PC

  • Endoscopy Clinic/Center
  • Old Westbury, NY
  • NPI 1518110923
  NPD tax ID

Locations

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1932644531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E TREMONT AVE",
            "address_2": "SUITE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652038",
            "telephone_number": "718-409-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E TREMONT AVE",
            "address_2": "SUITE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652038",
            "telephone_number": "718-409-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ENDOSCOPY SUITES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-409-2902",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Bronx, NY
• Providers in Bronx, 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 Jan 5, 2017; 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.