| Advanced Gastroenterology And Endoscopy, P.c. | |
|
70 N Country Rd Suite 201 Port Jefferson NY 11777-2161 | |
| (631) 479-3744 | |
| (561) 282-3238 |
| Full Name | Advanced Gastroenterology And Endoscopy, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 N Country Rd, Port Jefferson, New York |
| Authorized Official Name and Position | Ali S Karakurum (SOLE PROPRIETOR) |
| Authorized Official Contact | 6314793744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology And Endoscopy, P.c. 70 N Country Rd Suite 201 Port Jefferson NY 11777-2161 Ph: (631) 479-3744 | Advanced Gastroenterology And Endoscopy, P.c. 70 N Country Rd Suite 201 Port Jefferson NY 11777-2161 Ph: (631) 479-3744 |
| NPI Number | 1831324532 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 10/08/2010 |
| Medicare PECOS PAC ID | 9537219753 |
|---|---|
| Medicare Enrollment ID | O20090610000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831324532 | NPI | - | NPPES |
| 4V3762 | Other | NY | EMPIRE BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 185973 (New York) | Primary |
| Provider Name | David M Moretti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699710863 PECOS PAC ID: 2567352651 Enrollment ID: I20040319001485 |
| Provider Name | Ali S Karakurum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275570285 PECOS PAC ID: 4183691835 Enrollment ID: I20040913001213 |
| Provider Name | Paul Habek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023039211 PECOS PAC ID: 6709831571 Enrollment ID: I20050315000059 |
| Provider Name | Robert W Oleary |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093801474 PECOS PAC ID: 9638219694 Enrollment ID: I20091223000049 |
| Provider Name | Gang He |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164613667 PECOS PAC ID: 5294821914 Enrollment ID: I20131204000479 |
| Provider Name | Alisa M Caliendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407194855 PECOS PAC ID: 0244549749 Enrollment ID: I20151023001650 |
| Provider Name | Katelin L Elenterio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427612050 PECOS PAC ID: 8426483876 Enrollment ID: I20200114000641 |
Village Internal Medicine Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 Main Street, Port Jefferson, NY 11777 Phone: 631-474-4000 Fax: 631-474-4011 | |
Family Medical Wellness Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Oakland Ave, Ste 203, Port Jefferson, NY 11777 Phone: 631-928-9326 | |
Harbor Medical Wellness Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Belle Terre Rd Bldg J, Port Jefferson, NY 11777 Phone: 631-885-2364 | |
Mather Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Oakland Ave, Suite 205, Port Jefferson, NY 11777 Phone: 631-686-2523 Fax: 631-686-2525 | |
Bariatric Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Suite 201, Port Jefferson, NY 11777 Phone: 631-689-0220 Fax: 631-417-3042 | |
Endocrinogy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Oakland Ave Ste 203, Port Jefferson, NY 11777 Phone: 631-686-2552 | |
Steven G Selter Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Prospect St, Port Jefferson, NY 11777 Phone: 631-473-0611 Fax: 631-642-1617 |