REGO PARK ENDO, LLC – NPI #1407642366
Clinic/Center

REGO PARK ENDO, LLC is an AHC clinic located in REGO PARK, NY. NPPES has assigned the NPI number 1407642366 to REGO PARK ENDO, LLC on April 17, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Apr 21, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REGO PARK ENDO, LLC below.

NPI Profile for
REGO PARK ENDO, LLC

NPI Number
1407642366
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REGO PARK ENDO, LLC
Primary location
9901 QUEENS BLVD FL 2
REGO PARK, NY 11374-4512
Phone: (267) 455-4855 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEXANDER INGRAM
MEMBER
Phone: (718) 310-3904
Updated
Certification Date
Apr 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
207L00000X
- Anesthesiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.