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Pgr Gastro LLC

Anatomic Pathology & Clinical Pathology Physician in Valley Stream, NY · enumerated 2021 · authorized official Ross Brown, Credentialing Ex.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073106639

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Registry record

Entity type Organization (Type 2)
Legal business name Pgr Gastro LLC
Practice address 774 Dumont Pl, Valley Stream, NY, 11581
Phone (718) 979-9790
Fax (718) 979-9798
Enumeration date Feb 15, 2021
Last updated in NPPES Jul 25, 2023

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Primary
261QE0800X Endoscopy Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Ross Brown
Title Credentialing Ex
Phone (718) 313-0438

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pgr Gastro LLC?
NPPES lists Ross Brown (Credentialing Ex) as the authorized official for this organization.
What is the NPI number for Pgr Gastro LLC?
The NPI for Pgr Gastro LLC is 1073106639, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-25.