Organization Active NPI

Advanced Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bronx, NY
National Provider Identifier
1336252402
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ADVANCED ENDOSCOPY CENTER LLC
Practice address
5500 Broadway
Suite a
Bronx, NY 10463-5203
Phone
(718) 548-7900
Fax
(718) 548-8900
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Steven Housberg
Title
Ceo
Phone
(718) 548-7900

Specialties & licenses 1

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

Addresses

Primary practice location

5500 Broadway
Suite a
Bronx, NY 10463-5203

Mailing address

5500 Broadway Ste a
Bronx, NY 10463-5238
Phone (718) 548-7900

Other identifiers 2

IdentifierTypeStateIssuer
75393OtherAAAHC ACCREDITATION
2936134MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070322000633 NY Part B Supplier - Ambulatory Surgical Center 1052415510 Practice locations: Bronx, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Advanced Endoscopy Center LLCCCN 33C0001093
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
33D1060081Advanced Endoscopy Center5500 Broadway - Suite a, Bronx, NY 10463Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1336252402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROADWAY STE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635238",
            "telephone_number": "718-548-7900",
            "fax_number": "718-548-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROADWAY",
            "address_2": "SUITE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635203",
            "telephone_number": "718-548-7900",
            "fax_number": "718-548-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "HOUSBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-548-7900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC ACCREDITATION",
            "identifier": "75393",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2936134",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.