ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC (NPI# 1710904701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710904701 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC |
| Practice Address |
560 Bay Ridge Pkwy Brooklyn NY 11209-3310 |
| Practice Telephone | 7187485219 |
| Practice Fax Number | 7184394873 |
| Mailing Telephone | 7187485219 |
| Mailing Fax Number | 7184394873 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | MRS. LISA DOWD (OFFICE MANAGER) |
| Authorized Official Telephone | 7187485219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7001122R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02748561 | 05 |
| Street Address |
560 BAY RIDGE PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275571655 | Lrs Medical Associates, P.C. | Anesthesiology | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2006-06-04 |
| 1376750026 | Gastrointestinal and Liver Disease Specialists, LLP | Specialist | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2007-05-16 |
| 1851440986 | Ravi Shanker, Physician, P.C. | Anesthesiology | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2007-01-09 |
| 1245345495 | John W Trillo | Internal Medicine | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2006-08-20 |
| 1356456578 | Paul R Piccione | Internal Medicine | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2006-08-20 |
| 1144335381 | Antonio Palagiano | Internal Medicine | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2006-08-20 |
| 1154358968 | Mamandur Raghu | Anesthesiology | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2006-06-27 |
| 1538101894 | Ravi Shanker Srivastava | Anesthesiology | 560 Bay Ridge Pkwy, Brooklyn, NY 11209-3310 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826388 | Essica Huggins | Clinic/Center | 1600 Caton Ave, # 2d, Brooklyn, NY 11226-1001 | 2015-11-16 |
| 1033517263 | Island Ambulatory Surgery Center | Clinic/Center | 2279-83 Coney Island Ave, 1st Floor, Brooklyn, NY 11223-3337 | 2014-12-22 |
| 1992119135 | Chc Surgical Center LLC | Clinic/Center | 79 Bridge St, Brooklyn, NY 11201-1596 | 2014-06-16 |
| 1164848453 | Pbgs, LLC | Clinic/Center | 14 Dekalb Ave, 4th Floor, Brooklyn, NY 11201-5311 | 2014-03-11 |
| 1255675062 | Brooklyn Sc LLC | Clinic/Center | 6010 Bay Parkway 4th Floor, Brooklyn, NY 11204 | 2012-11-16 |
| 1316259831 | 758 Medical Services PC | Clinic/Center | 758 56th St, Brooklyn, NY 11220-3504 | 2010-07-13 |
| 1285867135 | Discreet Plastic Surgery PC | Clinic/Center | 2120 Ocean Ave, Brooklyn, NY 11229-1406 | 2009-08-26 |
| 1366646416 | Dallas Broadway | Clinic/Center | 18 Sumner Place, Brooklyn, NY 11206 | 2007-06-13 |
| 1942363098 | Beth Israel Ambulatory Care Services Corp | Clinic/Center | 3121 Kings Highway, Beth Israel Ambulatory Care Services Corp, Brooklyn, NY 11234-2644 | 2006-12-19 |
| 1710979109 | Sheepshead Bay Surgery Center, Inc. | Clinic/Center | 2269 Ocean Ave, Brooklyn, NY 11229-3103 | 2005-08-22 |
| Find all providers in BROOKLYN | ||||
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| 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.