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NEW YORK GI CENTER LLC NPI 1336258128


NPI Information

NPI: 1336258128
Provider Name: NEW YORK GI CENTER LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 33D1060091

Address:
1200 WATERS PL
SUITE M117
BRONX, NY
ZIP 10461
Phone: (718) 863-0575
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NEW YORK GI CENTER LLC is an endoscopy clinic center in Bronx, NY. NEW YORK GI CENTER LLC NPI is 1336258128. The provider is registered as an organization entity type.

The provider's business location address is:

1200 WATERS PL
SUITE M117
BRONX, NY
ZIP 10461-728
Phone: (718) 863-0575
Fax: (718) 863-2467

The provider's authorized official is James Costabile Dilorenzo .
The authorized official title is Director and has the following contact phone number (914) 725-9115.

The CLIA number assigned to this NPI record is 33D1060091 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 4/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0800XClinic/CenterEndoscopyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102898864MEDICAIDNEW YORK
2NE0Z88290MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.