Kips Bay Endoscopy Center, LLC

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

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Kips Bay Endoscopy Center LLCCCN 33C0001078

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 29

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

• Ederliza Galang Concepcion, MD

  • Anesthesiology Physician
  • New Hyde Park, NY
  • NPI 1598855777
  Medicare reassignment NPD
• Panchali Dhar, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1083701163
  Medicare reassignment NPD
• Jayalakshmi Harid, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1538102389
  Medicare reassignment NPD
• Gregory Kinsella, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1104902444
  Medicare reassignment NPD
• Dmitry Kuzmin, D.O.

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1518134675
  Medicare reassignment NPD
• Naila Raiz Mammadova, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • New York, NY
  • NPI 1619144516
  Medicare reassignment NPD
• Geema Masson, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1649368432
  Medicare reassignment NPD
• Mangala Naik, M.D.

  • Anesthesiology Physician
  • New Rochelle, NY
  • NPI 1528006764
  Medicare reassignment NPD
• Polat Novruzov, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1861403230
  Medicare reassignment NPD
• Rita Iluminada Sanchez, MD.

  • Anesthesiology Physician
  • East Williston, NY
  • NPI 1063569739

  Ambulatory Surgical

  Medicare reassignment NPD
• Jan Schreuder, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1003964446
  Medicare reassignment NPD
• Stacy Serebnitsky, M.D.

  • Interventional Pain Medicine Physician
  • Rego Park, NY
  • NPI 1336379817
  Medicare reassignment NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02688228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Sean Kipping, M.D.
• Aprilee Kippings
• Kiril Kiprovski, MD
• Kips Bay Anesthesia PC
• Kips Bay Dental Practice, P.C.
• Kips Bay Gynecology LLC
• Kips Bay Optical LTD
• Kira Medical, PLLC
• Drew Donovan Kiraly, MD, PHD
• Zsuzsanna Kiraly, PH.D.

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• 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.