LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC


Address: 1500 Route 112, Bldg 5, Port Jefferson Station, NY 11776-8054
Phone: 6318283400

LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC (NPI# 1235551052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235551052
Entity Type Organization
Organization Name LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC
Practice Address 1500 Route 112
Bldg 5
Port Jefferson Station
NY 11776-8054
Mailing Address 2500 York Rd Ste 300
Jamison
PA 18929-1098
Practice Telephone 6318283400
Practice Fax Number 6318283244
Mailing Telephone 2155899024
Mailing Fax Number 8337056301
Enumeration Date 2014-01-14
Last Update Date 2020-04-20
Authorized Official Name SHARON M HOHLFELD (CO-TREASURER)
Authorized Official Telephone 2155899024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC 1500 Route 112, Port Jefferson Stat, Ny 11776

Office Location

Street Address 1500 ROUTE 112
BLDG 5
City PORT JEFFERSON STATION
State NY
Zip Code 11776-8054

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366446726 Jeffrey L Vacirca Internal Medicine 1500 Route 112, Bldg 4, Port Jefferson Station, NY 11776-8055 2005-06-13
1740807791 Sarah Lynn Frisina Audiologist 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 2020-06-25
1982262903 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 1500 Route 112, Port Jefferson Station, NY 11776-8054 2019-06-04
1881134815 Port Jefferson Asc, LLC Clinic/Center 1500 Route 112, Bldg 3, Port Jefferson Station, NY 11776 2017-02-23
1538533344 Jacqueline Schomber Psychologist 1500 Route 112, Bldg 6, Port Jefferson Station, NY 11776-8054 2015-11-17
1720326077 Away From Home Senior Day Care Custodial Care Facility 1500 Route 112, Building 6, Suite A, Port Jefferson Station, NY 11776-8054 2013-01-22
1053636431 Jennifer Marie Diaz Allergy & Immunology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2010-03-29
1689800633 Thomas P. Erhart Do PC Obstetrics & Gynecology 1500 Route 112, Bldg 11, Suite B, Port Jefferson Station, NY 11776-3060 2009-06-04
1851527972 Washington Park Women's Health PC Obstetrics & Gynecology 1500 Route 112, Bldg 11 Suite A, Port Jefferson Station, NY 11776-3060 2009-06-03
1871763508 Craig Michael Litman Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2008-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205304219 Melissa E Germano Acupuncturist 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 2018-11-07
1366962185 Michael Louis Scicchitano Sr. Physical Therapist 3 Colgate Street, Port Jefferson Station, NY 11776 2017-06-22
1063969517 Dana Adamkiewicz Acupuncturist 432 North Bicycle Path, Port Jefferson Station, NY 11776 2016-09-01
1538531819 Jacqueline Rambo Specialist 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2015-10-26
1821474297 Michael Leuci Social Worker 3 Premier Court, Port Jefferson Station, NY 11776 2015-08-07
1578978078 Carol A. Palmer I Acupuncturist 34 Champlain St, Port Jefferson Station, NY 11776 2014-06-24
1659783371 Janette M Sperandeo Nurse Practitioner 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 2014-05-29
1578973079 James Buchrieser Specialist 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2014-05-06
1871923227 Duran Thomas Murphy Licensed Practical Nurse 8 Carolyn Road, Port Jefferson Station, NY 11776 2013-11-22
1699104562 Julio Genao Massage Therapist 213 Jayne Blvd, Portjefferson Station, NY 11776 2013-11-01
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679716245 Suffolk Interventional Suites Inc. Clinic/Center 1110b Hallock Avenue, Port Jefferson Station, NY 11776-1210 2009-04-13
1881134815 Port Jefferson Asc, LLC Clinic/Center 1500 Route 112, Bldg 3, Port Jefferson Station, NY 11776 2017-02-23

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NPI Name Taxonomy Address Enumeration
1700486511 Park Avenue Ambulatory Center LLC Clinic/Center 737 Park Ave Frnt 1b, New York, NY 10021-4248 2020-10-30
1083220123 Queens Surgical Center LLC Clinic/Center 3636 Main St Ste 1s, Flushing, NY 11354-6517 2020-09-22
1083230833 Surgicare of Westside, LLC Clinic/Center 438 W 51st St Fl 5, New York, NY 10019-6503 2020-06-17
1780206292 Greece Asc, LLC Clinic/Center 135 Canal Landing Blvd, Rochester, NY 14626-5104 2020-05-07
1679108914 Precision Sc, LLC Clinic/Center 28 Research Way, East Setauket, NY 11733-3453 2020-03-06
1043845340 Northeast Endoscopy LLC Clinic/Center 235 N Belle Mead Ave, East Setauket, NY 11733-3456 2020-03-06
1295365864 North Fork Surgery Center LLC Clinic/Center 700 Boisseau Ave, Southold, NY 11971 2020-01-22
1083262539 Uptown Surgical Services P.c Clinic/Center 111 East 71st Street, New York, NY 10021 2019-08-28
1154973071 Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center Clinic/Center 1769 Union Street, 3rd Floor, Niskayana, NY 12309 2019-07-11
1922666940 Gpddc, LLC Clinic/Center 2 Bennett Ave Fl 2, New York, NY 10033-2148 2019-06-04
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Competitor

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City PORT JEFFERSON STATION
Zip Code 11776

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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