NPIMap

Organization Active NPI

Flushing Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Flushing, NY
National Provider Identifier
1861743601
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FLUSHING ENDOSCOPY CENTER LLC
Practice address
136-02 Roosevelt Avenue
Flushing, NY 11354-0000
Phone
(718) 886-6648
Fax
(516) 820-1112
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Alan C Yao, MDNPI 1053325647
Title
Medical Director
Phone
(718) 886-6648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

136-02 Roosevelt Avenue
Flushing, NY 11354-0000

Mailing address

136-02 Roosevelt Avenue
Flushing, NY 11354-0000
Phone (718) 886-6648

Other identifiers 1

IdentifierTypeStateIssuer
03538089MedicaidNY

Other names 1

  • Soho Ambulatory Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130501000015 NY Part B Supplier - Ambulatory Surgical Center 1759528292 Receives reassigned benefits from 15 practitioners
Practice locations: Flushing, NY
O20250207002923 NY Part B Supplier - Ambulatory Surgical Center 1759528292 Practice locations: New York, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Flushing Endoscopy Center LLCCCN 33C0001140
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

13602 Roosevelt Ave
Bsmt
Flushing, NY 11354
Phone (718) 886-6648

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

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": "1782864000000",
    "number": "1861743601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-02 ROOSEVELT AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113540000",
            "telephone_number": "718-886-6648",
            "fax_number": "516-820-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-02 ROOSEVELT AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113540000",
            "telephone_number": "718-886-6648",
            "fax_number": "516-820-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-886-6648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03538089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soho Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.