AGCNY EAST LLC NPI 1801196050

NPI Information

  • NPI: 1801196050
  • Provider Name: AGCNY EAST LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ENDOSCOPY CENTER OF CENTRAL NEW YORK
  • CLIA Number: 33D1079083
  • Address: NORTHEAST MEDICAL BUILDING CONDOMINIUM
    SUITE 308
    FAYETTEVILLE, NY
    ZIP 13066
  • Phone: (315) 329-7301

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NPI Details

AGCNY EAST LLC is an ambulatory surgical clinic center in Fayetteville, NY. AGCNY EAST LLC NPI is 1801196050. The provider is registered as an organization entity type.
The provider Is Doing Business As Endoscopy Center Of Central New York.

The provider's business location address is:

NORTHEAST MEDICAL BUILDING CONDOMINIUM
SUITE 308
FAYETTEVILLE, NY
ZIP 13066-638
Phone: (315) 329-7301
Fax: (315) 329-7302

The provider's authorized official is Laureen H Ascenzo .
The authorized official title is Contact Person and has the following contact phone number (315) 708-0091.

The CLIA number assigned to this NPI record is 33D1079083 - 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 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)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)

The enumeration date for this NPI number is 10/21/2010 and was last updated on 5/14/2019.

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
1261QA1903XClinic/CenterAmbulatory SurgicalPENDINGNEW YORKYes

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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