✓ Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) (207RG0100X)

189-04 FACILITY INC (NPI #1538567730)

Internal Medicine, Gastroenterology • FRESH MEADOWS, NY • Status: Active Federal Registration

Plain-English Taxonomy Translation (207RG0100X)

What Does Taxonomy Code 207RG0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates in plain language to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"

Primary Certifying / Accrediting Authority: American Board of Internal Medicine — Gastroenterology
When Patients Should Consult: Rectal bleeding, hemorrhoids, persistent acid reflux, difficulty swallowing, jaundice (elevated bilirubin), fatty liver disease, or colon cancer screening.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 189-04 FACILITY INC:

High-Volume Clinical Procedures & Diagnostics:
  • Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
  • Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
  • Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
  • Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
Common Therapeutic & Prescribing Classes:
  • Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
  • H. pylori Quadruple & Triple Eradication Regimens
  • Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
  • Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1538567730 (NPI-2 Organization / Facility)
Provider / Legal Name189-04 FACILITY INC
Plain-English SpecialtyBoard-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology)
Certifying / Licensing BodyAmerican Board of Internal Medicine — Gastroenterology
Practice Location Address18904 UNION TPKE, SUITE B, FRESH MEADOWS, NY, 113661862
Practice Telephone / FaxTel: 718-271-1414
Administrative Mailing Address18904 UNION TPKE, FRESH MEADOWS, NY, 113661862
Enumeration & Last SyncEnumerated: 2014-12-21 | Updated: 2014-12-21
Authorized OfficialALLEN ANTONELLI (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

18904 UNION TPKE, SUITE B, FRESH MEADOWS, NY, 113661862

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207RG0100X — Internal Medicine, Gastroenterology
Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
State: N/A | License: Verified | Primary Taxonomy: Yes