MEDICARE: SAV ENDOSCOPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	2016391	NY

General Provider Information

NPI Number	:	1912316209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAV ENDOSCOPY PC

Provider Business Mailing Address
First Line	:	PO BOX 391
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-0391
Country	:	US
Telephone Number	:	718-227-1282
Fax Number	:

Provider Business Practice Location Address
First Line	:	4277 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-6241
Country	:	US
Telephone Number	:	718-227-1282
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANU SAMPAT
Credential	:	MD
Telephone Number	:	718-227-1285

Provider Enumeration Date	:	08/12/2014
Last Update Date	:	05/13/2025

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