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ADVANCED GASTROENTEROLOGY PRACTICE PLLC
NPI 1184921728
Internal Medicine - Gastroenterology in New York, NY

Active since February 17, 2011
77 BOWERY, #701, NEW YORK, NY 10002(212) 775-8388(212) 775-8383 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2026, Mar 18, 2026, Mar 15, 2017 (3 updates tracked since 2017).

About Advanced Gastroenterology Practice Pllc NPPES

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

ADVANCED GASTROENTEROLOGY PRACTICE PLLC (NPI 1184921728) is a healthcare organization registered as a gastroenterology in New York, New York and active in the NPI registry since February 2011. The organization maintains a secondary practice location in Syosset and lists Timothy Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1184921728
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameADVANCED GASTROENTEROLOGY PRACTICE PLLC
Location Address77 BOWERY, #701New York, NY 10002-4915
Mailing Address77 Bowery, #701New York, NY 10002-4915 · (212) 775-8388 · Fax (212) 775-8383
Phone(212) 775-8388
Fax(212) 775-8383
Organization SubpartNo
Authorized OfficialTimothy WongOwner · (212) 775-8388
Enumeration DateFebruary 17, 2011
Last NPPES UpdateMay 8, 20263 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1184921728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 223587
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.
77 BOWERY, New York, NY 10002
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Secondary Practice Location 1

Location 1175 Jericho Tpke Ste 200Syosset, NY 11791-4501 · Phone (212) 775-8388 · Fax (212) 775-8383

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 Compliance 33D2044822

Advanced Gastroenterology Practice PLLC · New York, NY
Expired · Jun 30, 2026
CLIA Number33D2044822
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2023
Certificate Expiration DateJune 30, 2026
Laboratory DirectorDr. Qiusheng Si
Laboratory Phone(212) 775-8388
Laboratory LocationAdvanced Gastroenterology Practice PLLC77 Bowery Street, Suite 7, New York, NY 10002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

STEVE C TAM MD
Internal Medicine (Cardiovascular Disease)
77 BOWERY, 5TH FLOOR, SUITE 502
NEW YORK, NY 10002
New York County (212) 226-6610
MANHATTAN CARDIAC MEDICAL PC
Internal Medicine (Cardiovascular Disease)
77 BOWERY, 5TH FLOOR, SUITE 502
NEW YORK, NY 10002
New York County (212) 226-6610

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 Advanced Gastroenterology Practice PLLC's NPI number?

The NPI number for Advanced Gastroenterology Practice PLLC is 1184921728. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is Advanced Gastroenterology Practice PLLC located?

Advanced Gastroenterology Practice PLLC is located at 77 Bowery #701, New York, NY 10002. The listed phone number is (212) 775-8388.

What is Advanced Gastroenterology Practice PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Gastroenterology Practice PLLC was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.