Organization Active NPI

Midtown Endoscopy & Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1073380853
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Shawn Khodadadian, MDNPI 1952505018
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 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
33D2297520Midtown Endoscopy & Surgical Center, LLC147 East 26TH Street, New York, NY 10010Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

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

Sources for this page

Verify at the official NPI Registry.