NEW YORK GI CENTER LLC NPI 1336258128

NPI Information

  • NPI: 1336258128
  • Provider Name: NEW YORK GI CENTER LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 33D1060091
  • Address: 1200 WATERS PL
    SUITE M117
    BRONX, NY
    ZIP 10461
  • Phone: (718) 863-0575

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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