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ISLAND GASTROENTEROLOGY CONSULTANTS PC
NPI 1174556963
Specialist in West Islip, NY

Active since July 08, 2006CLIA 33D2167519 · Waiver
1111 MONTAUK HWY, 3RD FLOOR, WEST ISLIP, NY 11795(631) 669-1171(631) 669-1912 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Island Gastroenterology Consultants Pc NPPES

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

ISLAND GASTROENTEROLOGY CONSULTANTS PC (NPI 1174556963) is a healthcare organization registered as a specialist in West Islip, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Raj Mariwalla, Gastroenterologist, as its authorized official.

NPPES Registry Identity

NPI1174556963
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameISLAND GASTROENTEROLOGY CONSULTANTS PC
Location Address1111 MONTAUK HWY, 3RD FLOORWest Islip, NY 11795-4910
Mailing Address1111 Montauk Hwy, 3rd FloorWest Islip, NY 11795-4910 · (631) 669-1171 · Fax (631) 669-1912
Phone(631) 669-1171
Fax(631) 669-1912
Organization SubpartNo
Authorized OfficialRaj MariwallaGastroenterologist · (631) 669-1171
Enumeration DateJuly 8, 2006
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1174556963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 143127
Definition
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.
1111 MONTAUK HWY, West Islip, NY 11795
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2167519

Island Gastroenterology Consultants · West Islip, NY
Active · expires Mar 26, 2027
CLIA Number33D2167519
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Rajkumar Mariwalla
Laboratory Phone(631) 669-1171
Laboratory LocationIsland Gastroenterology Consultants1111 Montauk Hwy - 3rd Floor, West Islip, NY 11795
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISLAND FOOT AND ANKLE
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 422-4450
SUMEET K. ANAND M.D., P.C
Internal Medicine
1111 MONTAUK HWY, SUITE 2-2
WEST ISLIP, NY 11795
Suffolk County (631) 647-9100
SUFFOLK PEDIATRIC ASSOCIATES, P.C.
Pediatrics
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 661-2520
EDWARD F MCLAUGHLIN DPM
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 422-4450
LEONARD M KAGAN M D P C
Obstetrics & Gynecology
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 422-2727
MRS. KATHARINE HAXALL CRONIN MS, MPH, CPNP
Nurse Practitioner (Pediatrics)
1111 MONTAUK HWY, SUITE 104
WEST ISLIP, NY 11795
Suffolk County (631) 661-2510
BRUCE J MCLAUGHLIN
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 422-4450
JOANNA FRANCES TANZMAN
Physician Assistant
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 669-1171

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 Island Gastroenterology Consultants PC's NPI number?

The NPI number for Island Gastroenterology Consultants PC is 1174556963. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Island Gastroenterology Consultants PC located?

Island Gastroenterology Consultants PC is located at 1111 Montauk Hwy 3rd Floor, West Islip, NY 11795. The listed phone number is (631) 669-1171.

What is Island Gastroenterology Consultants PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Island Gastroenterology Consultants PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2167519) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Island Gastroenterology Consultants PC was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.