NPIMap

Organization Active NPI

Kips Bay Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1912909169
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
012454B Issued in NY
Legal business name
KIPS BAY ENDOSCOPY CENTER, LLC
Practice address
535 2ND Ave
New York, NY 10016-8275
Phone
(212) 889-5477
Fax
(212) 889-0517
NPI assigned
Jun 1, 2005
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Elizabeth Yuen
Title
Administrator
Phone
(212) 889-5477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 012454B NY Primary

Addresses

Primary practice location

535 2ND Ave
New York, NY 10016-8275

Mailing address

535 2ND Ave
New York, NY 10016-8275
Phone (212) 889-5477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915001001 NY Part B Supplier - Ambulatory Surgical Center 0547237844 Receives reassigned benefits from 27 practitioners
Practice locations: New York, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Kips Bay Endoscopy Center LLCCCN 33C0001078
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
33D1020134Kips Bay Endoscopy Center LLC535 Second Avenue, New York, NY 10016Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

535 2nd Ave
New York, NY 10016
Phone (212) 447-1609

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1912909169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168275",
            "telephone_number": "212-889-5477",
            "fax_number": "212-889-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168275",
            "telephone_number": "212-889-5477",
            "fax_number": "212-889-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPS BAY ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "YUEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-889-5477"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "012454B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.