Active NPI
Uws ASC LLC
Doing business as Upper West Side Endoscopy
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1477142784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- UWS ASC LLC
- Doing business as
- Upper West Side Endoscopy
- Practice address
- 230 W 74TH St
New York, NY 10023-2107 - Phone
- (203) 894-2162
- Fax
- (914) 801-4664
- NPI assigned
- Jan 12, 2021
- Last updated
- Sep 15, 2021
- 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
- Richard Searles
- Title
- Member Manager
- Phone
- (914) 677-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
230 W 74TH St
New York, NY 10023-2107
Mailing address
230 W 74TH St
New York, NY 10023-2107
Phone (914) 677-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7002820R | Other | NY | STATE LICENSE |
Other names 1
- Upper West Side Endoscopy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210713000342 | NY | Part B Supplier - Ambulatory Surgical Center | 4981006087 | Practice locations: New York, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Uws ASC LLC Dba Upper West Side Endoscopy
- 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 |
|---|---|---|---|
| 33D2214907 | Uws ASC,LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
75 Danbury Rd
Unit B5
Ridgefield, CT 06877
230 W 74th St
New York, NY 10023
Phone (203) 894-2162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1477142784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232107",
"telephone_number": "914-677-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232107",
"telephone_number": "203-894-2162",
"fax_number": "914-801-4664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UWS ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-12",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "SEARLES",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "914-677-0200"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "7002820R",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Upper West Side Endoscopy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Upper West Side Endoscopy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.