Active NPI
Syracuse Endoscopy Associates, LLC
- Endoscopy Clinic/Center
- East Syracuse, NY
National Provider Identifier
1073587416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 3301219
- Legal business name
- SYRACUSE ENDOSCOPY ASSOCIATES, LLC
- Practice address
- 5000 Campuswood Drive
Suite 100
East Syracuse, NY 13057 - Phone
- (315) 234-6688
- Fax
- (315) 234-6689
- NPI assigned
- Feb 14, 2006
- 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
- Mrs. Kathleen M Kendrick, RN, MBA, MSN
- Title
- Administrator
- Phone
- (315) 234-6687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | 3301219 | NY | Primary |
Addresses
Primary practice location
5000 Campuswood Drive
Suite 100
East Syracuse, NY 13057
Mailing address
5000 Campuswood Drive
Suite 100
East Syracuse, NY 13057
Phone (315) 234-6688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02691514 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Syracuse Endoscopy Associates
- 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 |
|---|---|---|---|
| 33D1047534 | Syracuse Endoscopy Associates 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.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1063650489
-
- Gastroenterology Physician
- Syracuse, NY
- NPI 1629251251
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1285614404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1073587416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CAMPUSWOOD DRIVE",
"address_2": "SUITE 100",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-234-6688",
"fax_number": "315-234-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CAMPUSWOOD DRIVE",
"address_2": "SUITE 100",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-234-6688",
"fax_number": "315-234-6689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYRACUSE ENDOSCOPY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "KENDRICK",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "315-234-6687",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, MBA, MSN"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "NY",
"license": "3301219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02691514",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.