Provider Demographics
NPI:1548384332
Name:DIGESTIVE DISEASE CONSULTANTS PC
Entity Type:Organization
Organization Name:DIGESTIVE DISEASE CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-767-2820
Mailing Address - Street 1:53 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1732
Mailing Address - Country:US
Mailing Address - Phone:732-767-2820
Mailing Address - Fax:732-767-2821
Practice Address - Street 1:4434 AMBOY RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3845
Practice Address - Country:US
Practice Address - Phone:718-351-8700
Practice Address - Fax:732-767-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEP281Medicare PIN
F60624Medicare UPIN
F60624Medicare UPIN