Organization Active NPI

Procedure Endoscopy Services PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Staten Island, NY
National Provider Identifier
1568098523
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PROCEDURE ENDOSCOPY SERVICES PLLC
Practice address
305 Seguine Ave
Staten Island, NY 10309-3709
Phone
(718) 605-5000
Fax
(718) 605-5004
NPI assigned
Mar 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Kiranpreet Parmar, MDNPI 1396735874
Title
Owner
Phone
(347) 528-4384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

305 Seguine Ave
Staten Island, NY 10309-3709

Mailing address

PO Box 413
Holmdel, NJ 07733-0413
Phone (718) 605-5000

Other identifiers 1

IdentifierTypeStateIssuer
02350521MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL parmar222@hotmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200708000927 NY Part B Supplier - Clinic/Group Practice 4688097769 Receives reassigned benefits from 3 practitioners
Practice locations: Staten Island, NY

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
33D2180092Procedure Endoscopy Services PLLC305 Seguine Avenue, Staten Island, NY 10309ComplianceOct 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1568098523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330413",
            "telephone_number": "718-605-5000",
            "fax_number": "718-605-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SEGUINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093709",
            "telephone_number": "718-605-5000",
            "fax_number": "718-605-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCEDURE ENDOSCOPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "KIRANPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-528-4384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02350521",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "parmar222@hotmail.com",
            "affiliation": "N",
            "address_1": "305 Seguine Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103093709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.