Farmingdale Endoscopy

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

NYS 178331 Issued in NY

Legal business name

FARMINGDALE ENDOSCOPY

Practice address

1111 Rte 110
Suite 205
East Farmingdale, NY 11735

Phone

(631) 752-7000

Fax

(516) 364-9796

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Curtis Fagan, M.D.

Title

President

Phone

(516) 650-1800

Specialties & licenses 1

Addresses

Other names 1

• Farmingdale Cardiovascular Doing business as

Tax ID family

Farmingdale Endoscopy PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Farmingdale Endoscopy PLLC

  • Endoscopy Clinic/Center
  • Little Neck, NY
  • NPI 1487938346
  NPD tax ID
• Farmingdale Endoscopy PLLC

  • Endoscopy Clinic/Center
  • East Farmingdale, NY
  • NPI 1992027403
  NPD tax ID

Locations

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1962782300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 VINCENT LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117919629",
            "telephone_number": "516-650-1800",
            "fax_number": "516-364-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RTE 110",
            "address_2": "SUITE 205",
            "city": "EAST FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "631-752-7000",
            "fax_number": "516-364-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGDALE ENDOSCOPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-650-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "NYS 178331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmingdale Cardiovascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmingdale Endoscopy PLLC
• Wellnessrx Pharma Inc

• Medical Specialty Clinic/Center in East Farmingdale, NY
• Providers in East Farmingdale, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.