Active NPI
Queens Endoscopy ASC, LLC
- Ambulatory Surgical Clinic/Center
- Fresh Meadows, NY
National Provider Identifier
1780935528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- QUEENS ENDOSCOPY ASC, LLC
- Practice address
- 17660 Union Tpke
Fresh Meadows, NY 11366-1526 - Phone
- (718) 425-3300
- Fax
- (718) 820-0610
- NPI assigned
- Sep 19, 2012
- 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
- Leslie Hernandez
- Title
- Ceo
- Phone
- (718) 425-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NY | Primary |
Addresses
Primary practice location
17660 Union Tpke
Fresh Meadows, NY 11366-1526
Mailing address
2500 York Rd Ste 300
Jamison, PA 18929-1098
Phone (215) 589-9024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130509000029 | NY | Part B Supplier - Ambulatory Surgical Center | 0941447023 |
Receives reassigned benefits from 35 practitioners Practice locations: Fresh Meadows, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Queens Endoscopy
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
17660 Union Tpke
Ste 101
Fresh Meadows, NY 11366
Phone (347) 738-5700
Practitioners & affiliated clinicians
Practitioners 36
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1780935528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 YORK RD STE 300",
"city": "JAMISON",
"state": "PA",
"postal_code": "189291098",
"telephone_number": "215-589-9024",
"fax_number": "833-705-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661526",
"telephone_number": "718-425-3300",
"fax_number": "718-820-0610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS ENDOSCOPY ASC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-19",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-425-3300"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.