Diagnostic Endoscopy LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0301 Issued in CT

Legal business name

DIAGNOSTIC ENDOSCOPY LLC

Practice address

778 Long Ridge Rd
Stamford, CT 06902-1227

Phone

(203) 322-2400

Fax

(203) 329-8855

NPI assigned

Sep 19, 2005

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Diagnostic Endoscopy LLCCCN 07C0001028

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Amsurg Stamford Anesthesia LLC

  • Anesthesiology Physician
  • Stamford, CT
  • NPI 1942622378

  Member Of

  NPD member

Practitioners 6

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.

• Neda Khaghan, M.D.

  • Gastroenterology Physician
  • Greenwich, CT
  • NPI 1538180427
  NPD
• Scott Jordan Kramer, M.D.

  • Gastroenterology Physician
  • Greenwich, CT
  • NPI 1154648186
  NPD
• Neal Jacob Schamberg, M.D.

  • Gastroenterology Physician
  • Greenwich, CT
  • NPI 1841458759
  NPD
• Alan Edward Selkin, M.D.

  • Gastroenterology Physician
  • Greenwich, CT
  • NPI 1508912759
  NPD
• Felice R Zwas, M.D.

  • Gastroenterology Physician
  • Greenwich, CT
  • NPI 1225059116
  NPD
• Andrew Antony, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1104263862
  NPD

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1689669418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021227",
            "telephone_number": "203-322-2400",
            "fax_number": "203-329-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "07A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "7189280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID #",
            "identifier": "IV8574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE ID #",
            "identifier": "747394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "A2535749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arashinder Singh Dhaliwal, M.D.
• Amynah Dharani
• Sakshi Dhir, MD
• Sandhya Dhruvakumar, MD
• Robert Di Roma II, LADC
• Elissa Diamond, DC
• Eric R Diamond, MS.ED, BCBA
• Lisa Dianis, LCSW
• Gloria Diaz, DDS
• Jennifer M Diaz, RPH

• Ambulatory Surgical Clinic/Center in Stamford, CT
• Providers in Stamford, CT by specialty
• Ambulatory Surgical Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.