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GASTROENTEROLOGY & LIVER DISEASE, PC
NPI 1891034500
Specialist in Forest Hills, NY

Active since February 01, 2013CLIA 33D1096515 · Certificate of Compliance
10721 QUEENS BLVD, SUITE 4, FOREST HILLS, NY 11375(718) 520-0857(718) 520-9099 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gastroenterology & Liver Disease, Pc NPPES

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

GASTROENTEROLOGY & LIVER DISEASE, PC (NPI 1891034500) is a healthcare organization registered as a specialist in Forest Hills, New York and active in the NPI registry since February 2013. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Albert Shalomov, President, as its authorized official.

NPPES Registry Identity

NPI1891034500
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGASTROENTEROLOGY & LIVER DISEASE, PC
Location Address10721 QUEENS BLVD, SUITE 4Forest Hills, NY 11375-4413
Mailing Address10721 Queens Blvd, Suite 4Forest Hills, NY 11375-4413 · (718) 520-0857 · Fax (718) 520-9099
Phone(718) 520-0857
Fax(718) 520-9099
Organization SubpartNo
Authorized OfficialAlbert ShalomovPresident · (718) 520-0857
Enumeration DateFebruary 1, 2013
Last NPPES UpdateMarch 12, 2013
✔ NPI 1891034500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 244590
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.
10721 QUEENS BLVD, Forest Hills, NY 11375
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Other Identifiers 1

Medicaid02914441NY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gastroenterology & Liver Disease, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Gastroenterology & Liver Disease, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Albert Shalomov, MD
Gastroenterology
NPI 1770775025
10721 QUEENS BLVD SUITE 4
Forest Hills, NY 11375
(718) 520-0857
✔ PECOSSame address
Allan Li, MD
Pathology
NPI 1417097387
LINDEN BLVD AND BROOKDALE PLAZA
Brooklyn, NY 11212
(718) 240-5321
✔ PECOS5.8 mi
Angela Smith, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477740629
1041 3RD AVE STE 200
New York, NY 10065
(212) 362-3470
✔ Accepts Medicare6.9 mi
Michael Reens, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639457286
PO BOX 21482
New York, NY 10087
(631) 747-0339
✔ Accepts Medicare8.2 mi
James Missig, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093819484
5 5TH AVE SUITE 1
Bay Shore, NY 11706
(631) 277-1803
✔ Accepts Medicare31 mi
Miroslav Radevic, M.D.
Pathology
NPI 1275779894
246 INDUSTRIAL WAY W SUITE 2
Eatontown, NJ 07724
(732) 389-5200
✔ PECOS✔ Accepts Medicare33 mi

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

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 33D1096515

Gastroenterology & Liver Disease PC · Forest Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D1096515
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Allan R. Li
Laboratory Phone(718) 520-0857
Laboratory LocationGastroenterology & Liver Disease PC107-21 Queens Boulevard, Suite 4, Forest Hills, NY 11375
CLIA data matches this NPI record on: 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.

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 Gastroenterology & Liver Disease, PC's NPI number?

The NPI number for Gastroenterology & Liver Disease, PC is 1891034500. It was assigned to this organization in the NPPES registry on February 1, 2013.

Where is Gastroenterology & Liver Disease, PC located?

Gastroenterology & Liver Disease, PC is located at 10721 Queens Blvd Suite 4, Forest Hills, NY 11375. The listed phone number is (718) 520-0857.

What is Gastroenterology & Liver Disease, PC's specialty?

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

Is Gastroenterology & Liver Disease, PC enrolled in Medicare?

Yes. Gastroenterology & Liver Disease, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology & Liver Disease, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Gastroenterology & Liver Disease, PC. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (3), Pathology (2) and Gastroenterology (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gastroenterology & Liver Disease, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D1096515) 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 Gastroenterology & Liver Disease, PC was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.