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
- 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 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1245313709
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": []
}
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- 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.