Putnam Gi, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Carmel, NY
NPI 1215211552 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1215211552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 2059761 (NY)
- Legal business name
- PUTNAM GI, 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
- Organization subpart
- No
Authorized official
- Name
- Kerry P Cooney
- Title
- Administrator
- Phone
- (845) 278-5223
Practitioners 23
-
Ila P. Barton, CRNA
-
Robert Choi, MD
-
Abdul Khokhar, MD
-
Shannon Marie McDonnell, R.N.
-
Meejin Shim, CRNA
-
Camille Andrea Stewart, M.D.
-
Kevin Traille, CRNA
-
John Joseph Caruso Jr., M.D.
-
Nita Dave, M.D.
-
Edward E Eaton, MD
-
Gena Finver, CRNA
-
Andrew D Koplik, MD
-
Thalia Segal, M.D.
-
Sunil Gupta, M.D.
-
Louis Aurisicchio, M.D.
-
Michael Stuart Kushner, M.D.
-
Rajiv Perinbasekar, M.D.
-
William Tung, M.D.
-
Minja Yoo, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Putnam G I LLC
- Medicare certification status
- Active
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Putnam Gi LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2035325 | Putnam Gi LLC | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120821000753 | NY | Part B Supplier - Ambulatory Surgical Center | 9638326937 |
Receives reassigned benefits from 17 practitioners Practice locations: Carmel, NY |
National Provider Directory
Locations
667 Stoneleigh Ave
Bldg A
Carmel, NY 10512
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 2059761 | NY | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03436697 | Medicaid | NY |
Other names
- Putnam Endoscopy ASC, LLC
Other providers in Carmel, NY
- Karen Anne Proctor
- Karen Profita
- Prohealth Care Associates, LLP
- Putnam Family and Community Services Inc
- Putnam Family and Community Services Inc
- Putnam Hospital Center
- Putnam Hospital Center
- Putnam Imaging Associates PC
- Putnam Obstetrics & Gynecology P.C.
- Putnam Pediatric Medicine, PLLC
All providers in Carmel, NY · Ambulatory Surgical Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.