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EAST SUMMIT MEDICAL PC
NPI 1093371742
Internal Medicine - Gastroenterology in New York, NY

Active since May 17, 2019
40 BOWERY # GROUND, NEW YORK, NY 10013(646) 609-6138 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2022, Aug 23, 2020, May 17, 2019 (3 updates tracked since 2019).

About East Summit Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST SUMMIT MEDICAL PC (NPI 1093371742) is a healthcare organization registered as a gastroenterology in New York, New York and active in the NPI registry since May 2019. The organization lists Kevin Tin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093371742
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameEAST SUMMIT MEDICAL PC
Location Address40 BOWERY # GROUNDNew York, NY 10013-4801
Mailing Address7116 Grand AveMaspeth, NY 11378-1823 · (646) 609-6138
Phone(646) 609-6138
Organization SubpartNo
Authorized OfficialKevin TinAdministrator · (917) 336-8422
Enumeration DateMay 17, 2019
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1093371742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
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.
40 BOWERY # GROUND, New York, NY 10013
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Summit Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to East Summit Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Tuo Chen, DO
Family Practice
NPI 1609338870
40 BOWERY
New York, NY 10013
(646) 609-6138
✔ PECOSSame address
Ted Lao, MD
Nephrology
NPI 1073007712
550 1ST AVE
New York, NY 10016
(212) 263-7500
✔ PECOS2.2 mi
Horace Tang, M.D.
Hematology/Oncology
NPI 1073833984
6300 8TH AVE
Brooklyn, NY 11220
(718) 765-2600
✔ PECOS5.7 mi
Mark Ilyagu, MD
Internal Medicine
NPI 1073994711
2183A RALPH AVE
Brooklyn, NY 11234
(717) 716-7107
✔ PECOS7.4 mi
Kevin Tin, M.D.
Gastroenterology
NPI 1174812044
902 QUENTIN RD STE 701
Brooklyn, NY 11223
(718) 336-3900
✔ PECOS7.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Summit Medical PC's NPI number?

The NPI number for East Summit Medical PC is 1093371742. It was assigned to this organization in the NPPES registry on May 17, 2019.

Where is East Summit Medical PC located?

East Summit Medical PC is located at 40 Bowery # Ground, New York, NY 10013. The listed phone number is (646) 609-6138.

What is East Summit Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is East Summit Medical PC enrolled in Medicare?

Yes. East Summit Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Summit Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to East Summit Medical PC, in Family Practice, Gastroenterology, Hematology/Oncology, Internal Medicine and Nephrology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Summit Medical PC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.