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ENDOSCOPIC AMBULATORY SPECIALTY CENTER OF BAY RIDGE INC
NPI 1164516084
Clinic/Center - Ambulatory Surgical in Brooklyn, NY

Active since October 03, 2006CLIA 33D2117525 · Waiver
7601 4TH AVE, SUITE 1A, BROOKLYN, NY 11209(718) 745-0623(718) 745-8091 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc NPPES

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

ENDOSCOPIC AMBULATORY SPECIALTY CENTER OF BAY RIDGE INC (NPI 1164516084) is a healthcare organization registered as an ambulatory surgical in Brooklyn, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Anila Hoxha, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1164516084
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPIC AMBULATORY SPECIALTY CENTER OF BAY RIDGE INC
Location Address7601 4TH AVE, SUITE 1ABrooklyn, NY 11209-3207
Mailing Address7601 4th Ave, Suite 1aBrooklyn, NY 11209-3207 · (718) 745-0623 · Fax (718) 745-8091
Phone(718) 745-0623
Fax(718) 745-8091
Organization SubpartNo
Authorized OfficialAnila HoxhaExecutive Vice President · (718) 745-0623
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 6, 2017
✔ NPI 1164516084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedAnesthesiologyTaxonomy 207L00000X
7601 4TH AVE, Brooklyn, NY 11209
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120123000496Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 33D2117525

Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2117525
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 18, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Harry G. Demeo
Laboratory Phone(718) 745-8879
Laboratory LocationEndoscopic Ambulatory Specialty Center Of Bay Ridge Inc7601 4th Avenue Suite 1A, Brooklyn, NY 11209
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

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.
142 services134 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.
103 services102 patients
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.
53 services52 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
42 services42 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.
19 services19 patients

Other Providers at the Same Location NPPES 14

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

DR. DELAN TREVOR DEALWIS M.D.
Radiology (Diagnostic Radiology)
7601 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-7000
BAYRIDGE MEDICAL IMAGING, P.C.
Radiology (Diagnostic Radiology)
7601 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-7000
CHANGPING JIA MD
Nuclear Medicine (Nuclear Imaging & Therapy)
7601 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-7000
BAY RIDGE GASTROENTEROLOGY, PLLC
Internal Medicine (Gastroenterology)
7601 4TH AVE, SUITE 1A
BROOKLYN, NY 11209
Kings County (718) 745-0623
DR. MORTEZA BEHBAHANI MD
Nuclear Medicine
7601 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-7000
JUSTIN LOONA M.D.
Radiology (Diagnostic Radiology)
7601 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 780-1000
YELLOW HOOK MEDICAL PC
Anesthesiology
7601 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 745-0623
BRMI @ 3RD AVENUE
Radiology (Diagnostic Radiology)
7601 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 238-7000

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 Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc's NPI number?

The NPI number for Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc is 1164516084. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc located?

Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc is located at 7601 4th Ave Suite 1A, Brooklyn, NY 11209. The listed phone number is (718) 745-0623.

What is Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc's specialty?

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

Is Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc enrolled in Medicare?

Yes. Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc is registered in the Medicare PECOS enrollment system.

When is Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Ambulatory Surgical Center) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2117525) 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 Endoscopic Ambulatory Specialty Center Of Bay Ridge Inc was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.