NPIMap

Organization Active NPI

Endoscopy Center of Long Island LLC

  • Endoscopy Clinic/Center
  • Garden City, NY
National Provider Identifier
1770718009
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
2905202R Issued in NY
Legal business name
ENDOSCOPY CENTER OF LONG ISLAND LLC
Practice address
711 Stewart Ave
Suite 114
Garden City, NY 11530-4731
Phone
(516) 227-3254
Fax
(516) 998-4078
NPI assigned
May 15, 2009
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Warren Morris
Title
Administrator
Phone
(516) 227-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 2905202R NY Primary

Addresses

Primary practice location

711 Stewart Ave
Suite 114
Garden City, NY 11530-4731

Mailing address

711 Stewart Ave
Suite 114
Garden City, NY 11530-4731
Phone (516) 227-3254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090416000311 NY Part B Supplier - Clinic/Group Practice 2668370123 Receives reassigned benefits from 62 practitioners
Practice locations: Garden City, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Endoscopy Center of Long Island2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1770718009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 STEWART AVE",
            "address_2": "SUITE 114",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304731",
            "telephone_number": "516-227-3254",
            "fax_number": "516-998-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STEWART AVE",
            "address_2": "SUITE 114",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304731",
            "telephone_number": "516-227-3254",
            "fax_number": "516-998-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF LONG ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-227-3254"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "2905202R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.