ENDO GROUP LLC NPI 1639261407

NPI Information

NPI: 1639261407
Provider Name: ENDO GROUP, LLC

Doing Business As: GARDEN CITY SURGICENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
400 ENDO BLVD
GARDEN CITY, NY
ZIP 11530
Phone: (516) 832-8504
Get Directions

ENDO GROUP, LLC is an ambulatory surgical clinic center in Garden City, NY. ENDO GROUP, LLC NPI is 1639261407. The provider is registered as an organization entity type.
The provider Is Doing Business As Garden City Surgicenter.

The provider's business location address is:

400 ENDO BLVD
GARDEN CITY, NY
ZIP 11530
Phone: (516) 832-8504
Fax: (516) 832-1085

The provider's authorized official is Kelly Fitzpatrick .
The authorized official title is Administrator and has the following contact phone number (516) 832-8504.

The CLIA number assigned to this NPI record is 33D2147430 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 10/2/2015.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	2905200R	NEW YORK	Yes

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
1	003602	OTHER	NEW YORK	EMPIRE BCBS PROVIDER ID
2	IC0199	OTHER	NEW YORK	HEALTHNET PROVIDER ID
3	33C0001007	OTHER	NEW YORK	MEDICARE
4	A382712	OTHER	NEW YORK	OXFORD PROVIDER ID
5	331007	OTHER	NEW YORK	HIP PROVIDER ID
6	01088980	MEDICAID	NEW YORK
7	14404	OTHER	NEW YORK	AETNA PROVIDER ID

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: 5/5/2024

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