KIPS BAY ENDOSCOPY CENTER, LLC – NPI #1912909169
Clinic/Center

KIPS BAY ENDOSCOPY CENTER, LLC is an AHC clinic located in NEW YORK, NY. NPPES has assigned the NPI number 1912909169 to KIPS BAY ENDOSCOPY CENTER, LLC on June 01, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 4 years ago on Jan 24, 2022. 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 KIPS BAY ENDOSCOPY CENTER, LLC below.

NPI Profile for
KIPS BAY ENDOSCOPY CENTER, LLC

NPI Number
1912909169
Enumeration Date

(more than 21 years 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
KIPS BAY ENDOSCOPY CENTER, LLC
Primary location
535 2ND AVE
NEW YORK, NY 10016-8275
Phone: (212) 889-5477 Fax: (212) 889-0517
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEX SHERMAN
MEDICA DIRECTOR
Phone: (212) 889-5477
Updated
Certification Date
Jan 24, 2022

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.

Identifiers

Identifiers for KIPS BAY ENDOSCOPY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02688228
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)		 NY 012454B

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.