FARMINGDALE ENDOSCOPY PLLC (NPI# 1992027403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992027403 |
| Entity Type | Organization |
| Organization Name | FARMINGDALE ENDOSCOPY PLLC |
| Practice Address |
1111 Route 110 Suite 205 East Farmingdale NY 11735 |
| Mailing Address |
1943 Vincent Lane Muttontown NY 11791 |
| Practice Telephone | 6317527000 |
| Practice Fax Number | 6317523602 |
| Mailing Telephone | 6317527000 |
| Mailing Fax Number | 6317527025 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |
| Authorized Official Name | DR. RONALD CURTIS FAGAN (PRESIDENT) |
| Authorized Official Telephone | 6317527000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
17831 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487938346 | Farmingdale Endoscopy Pllc | Clinic/Center | 245-02 Horace Harding Exp., Little Neck, NY 11362 | 2011-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FARMINGDALE ENDOSCOPY PLLC | 1943 Vincent Ave, Muttontown, Ny 117919629 |
| Street Address |
1111 ROUTE 110 SUITE 205 |
| City | EAST FARMINGDALE |
| State | NY |
| Zip Code | 11735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225487309 | Thg Medical Services PC | Clinic/Center | 13668 Roosevelt Ave Fl 3, Flushing, NY 11354-5510 | 2016-06-08 |
| 1487938346 | Farmingdale Endoscopy Pllc | Clinic/Center | 245-02 Horace Harding Exp., Little Neck, NY 11362 | 2011-10-10 |
| 1043446867 | King-chen Hon Office Based Endoscopy Pllc | Clinic/Center | 4260 Main St Ste 7, Flushing, NY 11355-4741 | 2009-06-08 |
| 1518110923 | Premier Endoscopy Suites PC | Clinic/Center | 2 Polo Dr, Old Westbury, NY 11568-1043 | 2008-10-29 |
| 1851513196 | Loewenstein Endoscopy Ofiices, P.C. | Clinic/Center | 630 East Park Avenue, Long Beach, NY 11560 | 2007-05-03 |
| 1598983066 | Gupta Gastro Rockaway Office Based Surgery, P.C. | Clinic/Center | 238 Beach 20th St, Far Rockaway, NY 11691-3627 | 2007-04-23 |
| 1669595385 | Park Avenue Endoscopy, Pllc | Clinic/Center | 642 Park Avenue, New York, NY 10021-6105 | 2007-04-09 |
| 1265574768 | Endoscopy Center of Long Island LLC | Clinic/Center | 711 Stewart Avenue, Suite 114, Garden City, NY 11530 | 2007-02-12 |
| 1932248762 | Gastroenterology Associates of Northern New York, PC | Clinic/Center | Five Irongate Center, Glens Falls, NY 12801 | 2007-02-06 |
| 1811080963 | Epc, LLC | Clinic/Center | 260 Township Blvd Ste 10, Camillus, NY 13031-1677 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | EAST FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on FARMINGDALE ENDOSCOPY PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.