Pgr Gastro LLC
NPI 1073106639 · Anatomic Pathology & Clinical Pathology Physician · Valley Stream, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pgr Gastro LLC is a Anatomic Pathology & Clinical Pathology Physician organization in Valley Stream, NY (NPI 1073106639).
Provider details
- NPI number
- 1073106639
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ross Brown, Credentialing Ex(718) 313-0438
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Endoscopy Clinic/Center261QE0800X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-02-15
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Frequently asked questions
- What is Pgr Gastro LLC's NPI number?
- Pgr Gastro LLC's National Provider Identifier (NPI) is 1073106639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pgr Gastro LLC?
- Pgr Gastro LLC is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Pgr Gastro LLC located?
- Pgr Gastro LLC's practice location on file with NPPES is 774 Dumont Pl, Valley Stream, NY 11581-3122.
- What is Pgr Gastro LLC's phone number?
- The practice phone number listed in the NPPES registry for Pgr Gastro LLC is (718) 979-9790.
- Does Pgr Gastro LLC accept Medicare?
- Pgr Gastro LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pgr Gastro LLC?
- The authorized official listed on Pgr Gastro LLC's NPPES record is Ross Brown, Credentialing Ex. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pgr Gastro LLC's NPI active?
- Yes — Pgr Gastro LLC's NPI (1073106639) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.