Active NPI
Gastro Operating Company LLC
Doing business as (DBA) Meadowbrook Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Westbury, NY
National Provider Identifier
1902070832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 061004
- Legal business name
- GASTRO OPERATING COMPANY LLC
- Doing business as
- (DBA) Meadowbrook Endoscopy Center
- Practice address
- 865 Merrick Ave Ste 150N
Westbury, NY 11590 - Phone
- (516) 542-3636
- Fax
- (516) 222-8212
- NPI assigned
- Apr 22, 2008
- 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
- Jennifer B. Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | 061004 | NY | Primary |
Addresses
Primary practice location
865 Merrick Ave Ste 150N
Westbury, NY 11590
Mailing address
865 Merrick Ave Ste 150N
Westbury, NY 11590
Phone (516) 542-3636
Other names 1
- (DBA) Meadowbrook Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080828000555 | NY | Part B Supplier - Ambulatory Surgical Center | 9032285937 | Practice locations: Westbury, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Meadowbrook Endoscopy Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1086274 | Meadowbrook Endoscopy Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Garden City, NY
- NPI 1942205901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749427200000",
"number": "1902070832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 MERRICK AVE STE 150N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-542-3636",
"fax_number": "516-222-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 MERRICK AVE STE 150N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-542-3636",
"fax_number": "516-222-8212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO OPERATING COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5954"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NY",
"license": "061004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "(DBA) Meadowbrook Endoscopy Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "(DBA) Meadowbrook Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.