Organization Active NPI

Northeast Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • East Setauket, NY
National Provider Identifier
1043845340
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NORTHEAST ENDOSCOPY LLC
Practice address
235 N Belle Mead Ave
East Setauket, NY 11733-3456
Phone
(631) 675-2777
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suzan M Sattler, RN
Title
VP
Phone
(786) 251-5741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

235 N Belle Mead Ave
East Setauket, NY 11733-3456

Mailing address

235 N Belle Mead Ave
East Setauket, NY 11733-3456
Phone (631) 675-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117000614 NY Part B Supplier - Ambulatory Surgical Center 0446661813 Receives reassigned benefits from 20 practitioners
Practice locations: East Setauket, NY

National Provider Directory

National Provider Directory

Locations

235 N Belle Mead Ave
#3456
East Setauket, NY 11733

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Northeast Endoscopy LLCCCN 33C0001202
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2191334Northeast Endoscopy LLC235 N Belle Meade Ave, East Setauket, NY 11733Certificate of waiverMar 26, 2027

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1043845340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BELLE MEAD AVE",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333456",
            "telephone_number": "631-675-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BELLE MEAD AVE",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333456",
            "telephone_number": "631-675-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "SATTLER",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "786-251-5741",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.

Verify at the official NPI Registry.