ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC – NPI #1013938174
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC is a provider located in CAMILLUS, NY. NPPES has assigned the NPI number 1013938174 to ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC on July 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC below.

NPI Profile for
ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC

NPI Number
1013938174
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC
Primary location
260 TOWNSHIP BLVD
STE 20
CAMILLUS, NY 13031
Phone: (315) 708-0190 Fax: (315) 488-3284
1 Other location(s):
4870 Broad Rd
Suite 3Q
Syracuse, NY 13215-2206
Phone: (315) 492-5765
Fax: (315) 492-5123
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROL GALLUP
CREDENTIALING COORDINATOR
Phone: (315) 218-0085
Updated
Identifiers

Identifiers for ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERR/R MEDICARENYCC7979
OTHERR/R MEDICARENYCF1049
MEDICAIDNY00482137
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
NY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.