NPIMap

Organization Active NPI

Farmingdale Endoscopy PLLC

  • Endoscopy Clinic/Center
  • East Farmingdale, NY
National Provider Identifier
1992027403
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
17831 Issued in NY
Legal business name
FARMINGDALE ENDOSCOPY PLLC
Practice address
1111 Route 110
Suite 205
East Farmingdale, NY 11735
Phone
(631) 752-7000
Fax
(631) 752-3602
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Dr. Ronald Curtis Fagan, MD
Title
President
Phone
(631) 752-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 17831 NY Primary

Addresses

Primary practice location

1111 Route 110
Suite 205
East Farmingdale, NY 11735

Mailing address

1943 Vincent Lane
Muttontown, NY 11791
Phone (631) 752-7000

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1992027403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 VINCENT LANE",
            "city": "MUTTONTOWN",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "631-752-7000",
            "fax_number": "631-752-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ROUTE 110",
            "address_2": "SUITE 205",
            "city": "EAST FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "631-752-7000",
            "fax_number": "631-752-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGDALE ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "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": "631-752-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "17831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.