Active NPI
Mid-Bronx Endoscopy Center LLC
- Ambulatory Surgical Clinic/Center
- Bronx, NY
National Provider Identifier
1023551413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MID-BRONX ENDOSCOPY CENTER LLC
- Practice address
- 51 West Burnside Ave
Bronx, NY 10453-4038 - Phone
- (917) 791-6004
- Fax
- (917) 720-3998
- NPI assigned
- Dec 2, 2016
- Last updated
- Nov 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Celine Vasquez
- Title
- Administrator
- Phone
- (917) 791-6004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
51 West Burnside Ave
Bronx, NY 10453-4038
Mailing address
51 W Burnside Ave
Bronx, NY 10453-4037
Phone (971) 791-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170320001115 | NY | Part B Supplier - Ambulatory Surgical Center | 6002191764 | Practice locations: Bronx, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Mid Bronx Endoscopy Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2124248 | Mid-Bronx Endoscopy Center LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1023551413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 W BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534037",
"telephone_number": "971-791-6004",
"fax_number": "917-720-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 WEST BURNSIDE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534038",
"telephone_number": "917-791-6004",
"fax_number": "917-720-3998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-BRONX ENDOSCOPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-02",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "VASQUEZ",
"authorized_official_first_name": "CELINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "917-791-6004"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Claudia Stephany Michue
- Amanda Mickens, MSED
- Sarah Micley, FNP-BC
- Alexandria Miculitzki
- Mid Concourse Pharmacy Inc
- Mid-Bronx Senior Citizens Council, Services (Comforting Care)
- Mid-Hudson Comprehensive Medical, PC
- Cristal Faith Middleton, CASAC-T, CRPA-P
- Middletown Podiatry Associates, P.C.
- Rosita Midence, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.