LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC
NPI 1235551052
Clinic/Center - Ambulatory Surgical in Port Jefferson Station, NY

Active since January 14, 2014
1500 ROUTE 112, BLDG 5, PORT JEFFERSON STATION, NY 11776(631) 828-3400(631) 828-3244 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2020, Jul 1, 2019 (2 updates tracked since 2019).

About Long Island Digestive Endoscopy Center, Llc NPPES

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

LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC (NPI 1235551052) is a healthcare organization registered as an ambulatory surgical in Port Jefferson Station, New York and active in the NPI registry since January 2014. The organization lists Nina Elisabeth Esperance, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235551052
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC
Location Address1500 ROUTE 112, BLDG 5Port Jefferson Station, NY 11776-8054
Mailing Address1500 Route 112 Bldg 5Port Jefferson Station, NY 11776-8055 · (631) 828-3400 · Fax (631) 828-3244
Fax(631) 828-3244
Organization SubpartNo
Authorized OfficialNina Elisabeth EsperanceCeo · (631) 828-3400
Enumeration DateJanuary 14, 2014
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1235551052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1500 ROUTE 112, Port Jefferson Station, NY 11776

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Digestive Endoscopy Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Long Island Digestive Endoscopy Center, LLC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)42
Anesthesiology21

Nearest to this location (20)

See all 63
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639435126
DEPARTMENT OF ANESTHESIOLOGY STONY BROOK UNIVERSITY HOSPITAL
Stony Brook, NY 11794
(631) 708-6140
✔ Accepts Medicare4.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881211266
101 NICOLLS RD
Stony Brook, NY 11794
(370) 463-1444
✔ Accepts Medicare4.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134867179
101 NICOLLS RD
Stony Brook, NY 11794
(631) 689-8333
4.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1245932243
101 NICOLLS RD
Stony Brook, NY 11794
(631) 689-8333
4.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1366041907
101 NICOLLS RD
Stony Brook, NY 11794
(631) 384-4700
4.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851691430
101 NICOLLS RD
Stony Brook, NY 11794
(631) 689-8333
✔ Accepts Medicare4.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447708359
101 NICOLLS RD
Stony Brook, NY 11794
(631) 444-4000
4.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831245125
333 ROUTE 25A SUITE 225
Rocky Point, NY 11778
(631) 744-3671
✔ Accepts Medicare5.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760405641
333 ROUTE 25A STE 225
Rocky Point, NY 11778
(631) 744-0396
✔ Accepts Medicare5.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316289846
STONY BROOK UNIVERSITY HOSPITAL
Stony Brook, NY 11794
(631) 708-6196
✔ Accepts Medicare5.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811454051
STONY BROOK UNIVERSITY MEDICAL CENTER HSC LEVEL 4 - ROOM 060
Stony Brook, NY 11794
(631) 444-2975
✔ Accepts Medicare5.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972742351
75 FOSTER RD
Ronkonkoma, NY 11779
(631) 648-0531
7.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568032563
8 HALF ACRE CT
Smithtown, NY 11787
(631) 338-0102
9.5 mi
Anesthesiology
NPI 1912008541
48 ROUTE 25A SUITE 101
Smithtown, NY 11787
(631) 862-3413
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1497009849
125 KENNEDY DR STE 300
Hauppauge, NY 11788
(934) 223-4500
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093819484
5 5TH AVE SUITE 1
Bay Shore, NY 11706
(631) 277-1803
✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750810917
301 E MAIN ST
Bay Shore, NY 11706
(617) 636-5000
✔ Accepts Medicare17 mi
Anesthesiology
NPI 1578663134
301 E MAIN ST ANESTHESIA DEPARTMENT
Bay Shore, NY 11706
(631) 968-3162
✔ PECOS✔ Accepts Medicare17 mi
Anesthesiology
NPI 1780822593
202 E MAIN ST STE 201
Huntington, NY 11743
(631) 551-5130
✔ PECOS✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164095519
267 GRANT ST
Bridgeport, CT 06610
(203) 384-3000
✔ Accepts Medicare20 mi
See all 63 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
1,411 services1,392 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.
1,252 services1,216 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.
628 services620 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.
272 services271 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.
152 services152 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.
136 services133 patients

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 Long Island Digestive Endoscopy Center, LLC's NPI number?

The NPI number for Long Island Digestive Endoscopy Center, LLC is 1235551052. It was assigned to this organization in the NPPES registry on January 14, 2014.

Where is Long Island Digestive Endoscopy Center, LLC located?

Long Island Digestive Endoscopy Center, LLC is located at 1500 Route 112 Bldg 5, Port Jefferson Station, NY 11776. The listed phone number is (631) 828-3400.

What is Long Island Digestive Endoscopy Center, LLC's specialty?

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

Is Long Island Digestive Endoscopy Center, LLC enrolled in Medicare?

Yes. Long Island Digestive Endoscopy Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Digestive Endoscopy Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 2 Medicare specialties reassign their Medicare billing to Long Island Digestive Endoscopy Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (42) and Anesthesiology (21). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Long Island Digestive Endoscopy Center, LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.