Active NPI
Endoscopic Ambulatory Specialty Center of Bay Ridge Inc
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
National Provider Identifier
1164516084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ENDOSCOPIC AMBULATORY SPECIALTY CENTER OF BAY RIDGE INC
- Practice address
- 7601 4TH Ave
Suite 1a
Brooklyn, NY 11209-3207 - Phone
- (718) 745-0623
- Fax
- (718) 745-8091
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 6, 2017
- 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
- Miss Anila Hoxha
- Title
- Executive Vice President
- Phone
- (718) 745-0623
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7601 4TH Ave
Suite 1a
Brooklyn, NY 11209-3207
Mailing address
7601 4TH Ave
Suite 1a
Brooklyn, NY 11209-3207
Phone (718) 745-0623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120123000496 | NY | Part B Supplier - Ambulatory Surgical Center | 3072780659 | Practice locations: Brooklyn, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Endoscopic Ambulatory Specialty Center of Bay Ridge Inc
- 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 |
|---|---|---|---|
| 33D2117525 | Endoscopic Ambulatory Specialty Center of Bay | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
7601 4th Ave
Ste 1
Brooklyn, NY 11209
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- New York, NY
- NPI 1134434327
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1053418764
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1376745737
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1245313709
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1801875489
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1780004168
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1538102389
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1962501387
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1396162467
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1942437413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499299200000",
"number": "1164516084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 4TH AVE",
"address_2": "SUITE 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093207",
"telephone_number": "718-745-0623",
"fax_number": "718-745-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 4TH AVE",
"address_2": "SUITE 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093207",
"telephone_number": "718-745-0623",
"fax_number": "718-745-8091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOSCOPIC AMBULATORY SPECIALTY CENTER OF BAY RIDGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2017-07-06",
"status": "A",
"authorized_official_last_name": "HOXHA",
"authorized_official_first_name": "ANILA",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "718-745-0623",
"authorized_official_name_prefix": "Miss"
},
"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 Brooklyn, NY
- Henny Enden
- Endless Care Agency LLC
- Endocrinology Diabetes and Thyroid, PLLC
- Endodontic Associates at Hanson Place, P. C.
- Endodontic Associates of Brooklyn Heights, PC
- Endoscopic Diagnostic & Treatment Center LLC
- Victoria Endow, MPH RDN CDN
- Youssef Mousa Endraws
- Bruchy Endzweig
- Chana B Endzweig, CFY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.