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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: August 09, 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
Open in Google Maps ↗

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

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.

Other Providers at the Same Location NPPES 16

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

DR. FELIX ESTRIN D.D.S.
Dentist (General Practice)
10721 QUEENS BLVD, SUITE 2A
FOREST HILLS, NY 11375
Queens County (718) 793-1155
LOGISTICS MEDICAL ASSOCIATES PC
Specialist
10721 QUEENS BLVD, SUITE 4
FOREST HILLS, NY 11375
Queens County (718) 302-1111
ANNA FIELDMAN M.D.
Obstetrics & Gynecology
10721 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 520-0700
DR. DANIEL GRAPEL DPM
Podiatrist
10721 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (718) 793-5511
STEFAN BRADU M.D.
Dermatology
10721 QUEENS BLVD, SUITE1
FOREST HILLS, NY 11375
Queens County (718) 541-0593
DR. RICHARD DELSON DMD
Dentist (General Practice)
10721 QUEENS BLVD, SUITE 9
FOREST HILLS, NY 11375
Queens County (718) 263-0505
DEBRA BLUM DDS
Dentist (Oral and Maxillofacial Surgery)
10721 QUEENS BLVD, SUITE 3
FOREST HILLS, NY 11375
Queens County (718) 268-7400
C & C ANESTHESIA PLLC
Anesthesiology
10721 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (631) 629-4845

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.

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.