KIPS BAY ENDOSCOPY CENTER LLC NPI 1912909169

NPI Information

NPI: 1912909169
Provider Name: KIPS BAY ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
535 2ND AVE
NEW YORK, NY
ZIP 10016
Phone: (212) 889-5477
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KIPS BAY ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in New York, NY. KIPS BAY ENDOSCOPY CENTER, LLC NPI is 1912909169. The provider is registered as an organization entity type.

The provider's business location address is:

535 2ND AVE
NEW YORK, NY
ZIP 10016-275
Phone: (212) 889-5477
Fax: (212) 889-0517

The provider's authorized official is Alex Sherman .
The authorized official title is Medica Director and has the following contact phone number (212) 889-5477.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 1/24/2022.

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	012454B	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	02688228	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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