Organization Active NPI

Advance Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Dover, DE
National Provider Identifier
1124075940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2001101949 Issued in DE
Legal business name
ADVANCE ENDOSCOPY CENTER LLC
Practice address
742 S Governors Ave
Suite 2
Dover, DE 19904-4111
Phone
(302) 678-0725
Fax
(302) 678-5505
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Natwarlal V Ramani, MDNPI 1285681098
Title
Owner President
Phone
(302) 678-0725

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 2001101949 DE Primary

Addresses

Primary practice location

742 S Governors Ave
Suite 2
Dover, DE 19904-4111

Mailing address

742 S Governors Ave
Suite 2
Dover, DE 19904-4111
Phone (302) 678-0725

Other identifiers 3

IdentifierTypeStateIssuer
177A22OtherDEBLUE CROSS BLUE SHIELD
0001129928MedicaidDE
113040OtherDECOVENTRY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100219000024 DE Part B Supplier - Ambulatory Surgical Center 0941344675 Practice locations: Dover, DE

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Advance Endoscopy Center LLCCCN 08C0001012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

742 S Governors Ave
Ste 2
Dover, DE 19904
Phone (302) 678-0725

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124075940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 S GOVERNORS AVE",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044111",
            "telephone_number": "302-678-0725",
            "fax_number": "302-678-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 S GOVERNORS AVE",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044111",
            "telephone_number": "302-678-0725",
            "fax_number": "302-678-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMANI",
        "authorized_official_first_name": "NATWARLAL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "302-678-0725",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "DE",
            "license": "2001101949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "177A22",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001129928",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "113040",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.