Endoscopic Diagnostic & Treatment Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7001122R Issued in NY

Legal business name

ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC

Practice address

560 Bay Ridge Pkwy
Brooklyn, NY 11209-3310

Phone

(718) 748-5219

Fax

(718) 439-4873

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Dowd

Title

Office Manager

Phone

(718) 748-5219

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Endoscopic Diagnostic and Treatment CenterCCN 33C0001087

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul R Piccione, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1356456578
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1710904701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093310",
            "telephone_number": "718-748-5219",
            "fax_number": "718-439-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093310",
            "telephone_number": "718-748-5219",
            "fax_number": "718-439-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "DOWD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-748-5219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7001122R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02748561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Endless Care Agency LLC
• Endocrinology Diabetes and Thyroid, PLLC
• Endodontic Associates at Hanson Place, P. C.
• Endodontic Associates of Brooklyn Heights, PC
• Endoscopic Ambulatory Specialty Center of Bay Ridge Inc
• Victoria Endow, MPH RDN CDN
• Youssef Mousa Endraws
• Bruchy Endzweig
• Chana B Endzweig, CFY
• Gitty Endzweig, MSED

• Ambulatory Surgical Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.