NPIMap

Organization Active NPI

Putnam Gi, LLC

Doing business as Putnam Endoscopy ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Carmel, NY
National Provider Identifier
1215211552
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2059761 Issued in NY
Legal business name
PUTNAM GI, LLC
Doing business as
Putnam Endoscopy ASC, LLC
Practice address
667 Stoneleigh Ave
Building a Suite 201
Carmel, NY 10512-2454
Phone
(845) 278-5223
Fax
(845) 278-4579
NPI assigned
Oct 5, 2011
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Kerry P Cooney
Title
Administrator
Phone
(845) 278-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2059761 NY Primary

Addresses

Primary practice location

667 Stoneleigh Ave
Building a Suite 201
Carmel, NY 10512-2454

Mailing address

667 Stoneleigh Ave Ste 201
Carmel, NY 10512-2455
Phone (845) 278-5223

Other names 1

  • Putnam Endoscopy ASC, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120821000753 NY Part B Supplier - Ambulatory Surgical Center 9638326937 Receives reassigned benefits from 17 practitioners
Practice locations: Carmel, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Putnam Gi LLCCCN 33C0001126
Medicare certification status
ActiveFrom the Provider of Services file

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Putnam G I LLCCCN 33C0001158
Medicare certification status
ActiveFrom the Provider of Services file

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
33D2035325Putnam Gi LLC667 Stoneleigh Ave - BLDG a Suite 204, Carmel, NY 10512Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

667 Stoneleigh Ave
Bldg A
Carmel, NY 10512

667 Stoneleigh Ave
Ste 201
Carmel, NY 10512
Phone (845) 278-5223

667 Stoneleigh Ave
Ste 204
Carmel, NY 10512
Phone (845) 278-5223

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1215211552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 201",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-278-5223",
            "fax_number": "845-278-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "BUILDING A SUITE 201",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-278-5223",
            "fax_number": "845-278-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM GI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-278-5223"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "2059761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Endoscopy ASC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.