NPIMap

Organization Active NPI

Endoscopy Center of Niagara, LLC

  • Ambulatory Surgical Clinic/Center
  • Niagara Falls, NY
National Provider Identifier
1780021188
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENDOSCOPY CENTER OF NIAGARA, LLC
Practice address
6930 Williams Rd
Ste 3010
Niagara Falls, NY 14304-3096
Phone
(716) 284-3264
Fax
(716) 205-8004
NPI assigned
May 28, 2013
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Pat Graham
Title
Administrator
Phone
(716) 332-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

6930 Williams Rd
Ste 3010
Niagara Falls, NY 14304-3096

Mailing address

6930 Williams Rd Ste 3010
Niagara Falls, NY 14304-3096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140502000077 NY Part B Supplier - Ambulatory Surgical Center 4385877117 Receives reassigned benefits from 18 practitioners
Practice locations: Niagara Falls, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Endoscopy Center of Niagara LLCCCN 33C0001141
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2073612Endoscopy Center of Niagara LLC6930 Williams Rd - Suite 3010, Niagara Falls, NY 14304Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6930 Williams Rd
Ste 3010
Niagara Falls, NY 14304
Phone (716) 284-3264

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1780021188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 WILLIAMS RD STE 3010",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043096",
            "fax_number": "716-205-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 WILLIAMS RD",
            "address_2": "STE 3010",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043096",
            "telephone_number": "716-284-3264",
            "fax_number": "716-205-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF NIAGARA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-332-1000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

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.

Verify at the official NPI Registry.