BAYSIDE ENDOSCOPY CENTER – NPI #1720085657
Clinic/Center

BAYSIDE ENDOSCOPY CENTER is an AHC clinic located in PROVIDENCE, RI. NPPES has assigned the NPI number 1720085657 to BAYSIDE ENDOSCOPY CENTER on July 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAYSIDE ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is BAYSIDE ENDOSCOPY CENTER, LLC. The primary taxonomy selected by this provider is 261QE0800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Endoscopy

The NPI profile was previously updated about 3 years ago on Feb 08, 2023. 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 BAYSIDE ENDOSCOPY CENTER below.

NPI Profile for
BAYSIDE ENDOSCOPY CENTER, LLC

NPI Number
1720085657
Enumeration Date

(about 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
BAYSIDE ENDOSCOPY CENTER, LLC
Doing Business As (dba): BAYSIDE ENDOSCOPY CENTER
Primary location
33 STANIFORD ST
PROVIDENCE, RI 02905-3105
Phone: (401) 274-1810 Fax: (401) 273-9689
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954
Updated
Certification Date
Feb 08, 2023

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 BAYSIDE ENDOSCOPY CENTER

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
medicaidRI9411003
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
261QE0800X
- Clinic/Center / Endoscopy (Primary)
RI FAS01011

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.