Organization Active NPI

Uws ASC LLC

Doing business as Upper West Side Endoscopy

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1477142784
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7002820ROtherNYSTATE LICENSE

Other names 1

  • Upper West Side Endoscopy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 EndoscopyCCN 33C0001203
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
33D2214907Uws ASC,LLC230 West 74TH St, New York, NY 10023Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.