ADVANCED GASTROENTEROLOGY P.C. NPI 1073638813

NPI Information

NPI: 1073638813
Provider Name: ADVANCED GASTROENTEROLOGY, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5516 MAIN ST
FLUSHING, NY
ZIP 11355
Phone: (718) 461-6161
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ADVANCED GASTROENTEROLOGY, P.C. is a specialist in Flushing, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED GASTROENTEROLOGY, P.C. NPI is 1073638813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5516 MAIN ST
FLUSHING, NY
ZIP 11355-098
Phone: (718) 461-6161
Fax: (718) 461-3590

The provider's authorized official is Robert B. Harooni .
The authorized official title is President and has the following contact phone number (516) 869-5252.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		137144	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10P0702	OTHER	NEW YORK	NY PRESBYTERRIAN
2	34997491	OTHER	NEW YORK	MULTIPLAN
3	450323	OTHER	NEW YORK	HEALTHCARE PARTNERS
4	137AB1	OTHER	NEW YORK	FLUSHING OFFICE BCBS
5	130000	OTHER	NEW YORK	ELDERPLAN
6	339161	OTHER	NEW YORK	UNITED HEALTHCARE
7	137AB2	OTHER	NEW YORK	MANHASSET OFFICE BCBS
8	40126	OTHER	NEW YORK	VYTRA
9	4C5807	OTHER	NEW YORK	HEALTHNET
10	DP604	OTHER	NEW YORK	OXFORD
11	00840588	MEDICAID	NEW YORK
12	100033916101	OTHER	NEW YORK	UHC MEDICAID
13	2499224	OTHER	NEW YORK	GHI
14	AETNA	OTHER	NEW YORK	3336497
15	137144	OTHER	NEW YORK	HIP
16	HR7144	OTHER	NEW YORK	ATLANTIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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