Active NPI
Midtown Endoscopy & Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MIDTOWN ENDOSCOPY & SURGICAL CENTER, LLC
- Practice address
- 147 E 26TH St
New York, NY 10010-1868 - Phone
- (646) 351-0911
- NPI assigned
- Dec 11, 2023
- 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
- Shawn Khodadadian, MD
- Title
- Owner
- Phone
- (646) 351-0911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
147 E 26TH St
New York, NY 10010-1868
Mailing address
121 W 27TH St
New York, NY 10001-6207
Phone (646) 351-0911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240606000797 | NY | Part B Supplier - Ambulatory Surgical Center | 6709328743 | Practice locations: New York, NY |
Ambulatory surgical center certification: CCN 33C0001226
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Midtown Endoscopy and Surgical Center, LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Apr 30, 2025
- Last certification
- Apr 10, 2025
- Ownership / control type
- Proprietary
- Facility address
- 147 E 26th Street
New York, NY 10010
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 |
|---|---|---|---|
| 33D2297520 | Midtown Endoscopy & Surgical Center, LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- New York, NY
- NPI 1952505018
-
- Gastroenterology Physician
- New York, NY
- NPI 1679033427
-
- Podiatrist
- New York, NY
- NPI 1851772545
-
- Anatomic Pathology Physician
- Oceanside, NY
- NPI 1578213351
-
- Gastroenterology Physician
- Rochester, MN
- NPI 1700346582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1073380853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W 27TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016207",
"telephone_number": "646-351-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 E 26TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101868",
"telephone_number": "646-351-0911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDTOWN ENDOSCOPY & SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "KHODADADIAN",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-351-0911",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Midtown East Family Medicine PLLC
- Midtown East Medical PC
- Midtown East Pharmacy & Surgical LLC
- Midtown East Physical Therapy
- Midtown East Podiatry and Foot Surgery L.L.C.
- Midtown Family Medicine, PC
- Midtown Foot Care PC
- Midtown Health and Medical Office, PLLC
- Midtown Health and Medical, P.C.
- Midtown Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.