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ENDOSCOPY CENTER OF WESTERN NEW YORK LLC
NPI 1063419513
Clinic/Center - Ambulatory Surgical in Williamsville, NY

Active since June 30, 2005CLIA 33D1017756 · Waiver
60 MAPLE RD, SUITE 2, WILLIAMSVILLE, NY 14221(716) 332-1000(716) 204-4549 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Apr 23, 2020, Aug 5, 2019 (3 updates tracked since 2019).

About Endoscopy Center Of Western New York Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDOSCOPY CENTER OF WESTERN NEW YORK LLC (NPI 1063419513) is a healthcare organization registered as an ambulatory surgical in Williamsville, New York and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Pat Graham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063419513
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPY CENTER OF WESTERN NEW YORK LLC
Location Address60 MAPLE RD, SUITE 2Williamsville, NY 14221-2917
Mailing Address60 Maple Rd Ste 2Williamsville, NY 14221-2917 · (716) 332-1000 · Fax (716) 204-4549
Phone(716) 332-1000
Fax(716) 204-4549
Organization SubpartNo
Authorized OfficialPat GrahamAdministrator · (716) 332-1000
Enumeration DateJune 30, 2005
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1063419513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
60 MAPLE RD, Williamsville, NY 14221
Open in Google Maps ↗

Other Identifiers 4

Other63056Aaahc Accrediation
Other465NY · Bcbs Id
Medicaid02578949NY
Other141202RNY · Operating Certificate

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1017756

Endoscopy Center Of Western New York LLC · Williamsville, NY
Active · expires Mar 26, 2027
CLIA Number33D1017756
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 3, 2010
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Christopher J. Bartolone
Laboratory Phone(716) 332-1000
Laboratory LocationEndoscopy Center Of Western New York LLC60 Maple Road Suite 2, Williamsville, NY 14221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
439 services435 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
292 services286 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
199 services198 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
114 services113 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
49 services49 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
48 services44 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLORY BISCHEL FNP
Nurse Practitioner (Family)
60 MAPLE RD
BUFFALO, NY 14221
Erie County (716) 626-5260
LAURA PANKIEWICZ PA-C
Physician Assistant
60 MAPLE RD, SUITE 1
WILLIAMSVILLE, NY 14221
Erie County (716) 626-5250
RICHARD DANA KAPLAN M.D.
Internal Medicine (Gastroenterology)
60 MAPLE RD, STE 1
WILLIAMSVILLE, NY 14221
Erie County (716) 626-5250
CARRIN MARIE CLIFFORD FNP-BC
Nurse Practitioner (Family)
60 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 626-5250
RAYMOND J TUOTI M.D.
Internal Medicine (Gastroenterology)
60 MAPLE RD, STE 1
WILLIAMSVILLE, NY 14221
Erie County (716) 626-5250
PETER D BLOOM M.D.
Internal Medicine (Gastroenterology)
60 MAPLE RD, STE 1
WILLIAMSVILLE, NY 14221
Erie County (716) 626-5250
JERALD GILLER M.D.
Internal Medicine (Gastroenterology)
60 MAPLE RD, STE 1
WILLIAMSVILLE, NY 14221
Erie County (716) 626-5250
SUSAN KREPPEL NP
Nurse Practitioner
60 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 626-5250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Endoscopy Center Of Western New York LLC's NPI number?

The NPI number for Endoscopy Center Of Western New York LLC is 1063419513. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Endoscopy Center Of Western New York LLC located?

Endoscopy Center Of Western New York LLC is located at 60 Maple Rd Suite 2, Williamsville, NY 14221. The listed phone number is (716) 332-1000.

What is Endoscopy Center Of Western New York LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Endoscopy Center Of Western New York LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1017756) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Endoscopy Center Of Western New York LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.