NPIMap

Organization Active NPI

Nazareth Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Easton, PA
National Provider Identifier
1508400920
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NAZARETH ENDOSCOPY CENTER, LLC
Practice address
2401 Northampton St Ste 220
Easton, PA 18045-2764
Phone
(610) 821-2828
Fax
(610) 821-7915
NPI assigned
Oct 29, 2019
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Melinda Lopez, RN, BSN
Title
Administrator
Phone
(610) 756-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2401 Northampton St Ste 220
Easton, PA 18045-2764

Mailing address

2401 Northampton St Ste 220
Easton, PA 18045-2764
Phone (610) 821-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200331002928 PA Part B Supplier - Clinic/Group Practice 6002245776 Receives reassigned benefits from 38 practitioners
Practice locations: Easton, PA
O20200603002354 PA Part B Supplier - Ambulatory Surgical Center 6002245776 Practice locations: Easton, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Nazareth Endoscopy Center LLCCCN 39C0001361
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
39D2192178Nazareth Endoscopy Center, LLC2401 Northampton St, Suite 220, Easton, PA 18045Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

Locations

2401 Northampton St
Ste 220
Easton, PA 18045
Phone (610) 756-9900

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1508400920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NORTHAMPTON ST STE 220",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452764",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NORTHAMPTON ST STE 220",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452764",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-756-9900",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.