Gypsy Lane Endoscopy Suites, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GYPSY LANE ENDOSCOPY SUITES, INC.

Practice address

630 Gypsy LN
Youngstown, OH 44505-2170

Phone

(330) 743-9255

Fax

(330) 743-9254

NPI assigned

Apr 21, 2017

Last updated

Oct 24, 2024By 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

Dr. Adel Youssef, M.D.NPI 1891788477

Title

President

Phone

(330) 399-7215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Gypsy Lane Endoscopy Suites IncCCN 36C0001304

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

Practitioners 2

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.

• Adel I Youssef, M.D.

  • Specialist
  • Warren, OH
  • NPI 1891788477
  NPD (past) Authorized official
• Alexander D Masters, FNP

  • Family Nurse Practitioner
  • Canfield, OH
  • NPI 1750775813
  NPD (past)

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1730614330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836613",
            "telephone_number": "330-399-7215",
            "fax_number": "330-399-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052170",
            "telephone_number": "330-743-9255",
            "fax_number": "330-743-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYPSY LANE ENDOSCOPY SUITES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-399-7215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Gutierrez, RN
• Erica D Gutshall, WHNP
• Jerrilyn G Guy, LPCC
• Zoe Mae Guzman
• Mark Gwilt
• H O P E Counseling and Addiction Services LLC
• H Robert Gaetano, O.D., Inc (Vision Care Associates)
• Laura Jane Haas, MSW LSW
• Khalid A Habo, M.D.
• Bethany Haddle

• Ambulatory Surgical Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.