Active NPI
East Side Endoscopy LLC
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1720215320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EAST SIDE ENDOSCOPY LLC
- Practice address
- 380 2ND Ave
Concourse a
New York, NY 10010-5615 - Phone
- (212) 375-1065
- Fax
- (212) 375-1069
- NPI assigned
- Jun 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helen M Lowenwirth
- Title
- Administrator
- Phone
- (212) 375-1065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
380 2ND Ave
Concourse a
New York, NY 10010-5615
Mailing address
380 2ND Ave
New York, NY 10010-5615
Phone (212) 375-1065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091125000207 | NY | Part B Supplier - Ambulatory Surgical Center | 5395884746 | Practice locations: New York, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- East Side Endoscopy LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1107354 | East Side Endoscopy LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
380 2nd Ave
#A
New York, NY 10010
Phone (212) 375-1065
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- New York, NY
- NPI 1831195239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1720215320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105615",
"telephone_number": "212-375-1065",
"fax_number": "212-375-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 2ND AVE",
"address_2": "CONCOURSE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105615",
"telephone_number": "212-375-1065",
"fax_number": "212-375-1069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST SIDE ENDOSCOPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-22",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "LOWENWIRTH",
"authorized_official_first_name": "HELEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "212-375-1065"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- East Side Cardiology PLLC
- East Side Chemists Inc
- East Side Dental Arts PLLC (Murphy Dental)
- East Side Dermatology Services PC (Laser & Skin Surgery Center of New York)
- East Side Endocrine PLLC
- East Side Esda Inc D/B/a East Side Dental Arts
- East Side Foot Care PC
- East Side Gastroenterology, P.C.
- East Side Medical & Cardiovascular Associates, P.C.
- East Side Medical and Diagnostics Services, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.