GREAT SOUTH BAY ENDOSCOPY CENTER, LLC
NPI 1366864514
Clinic/Center - Ambulatory Surgical in East Patchogue, NY

NPI Status: Active since January 07, 2014

Contact Information

260 PATCHOGUE YAPHANK RD
SUITE C
EAST PATCHOGUE, NY
ZIP 11772
Phone: (631) 307-9181
Fax: (631) 312-9187

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 33D2074874
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About GREAT SOUTH BAY ENDOSCOPY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Great South Bay Endoscopy Center, Llc, a provider established in East Patchogue, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1366864514 assigned on January 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Alicia Mohan (Administrator)

NPI
1366864514
Provider Name
GREAT SOUTH BAY ENDOSCOPY CENTER, LLC
Entity Type
Organization
Location Address
260 PATCHOGUE YAPHANK RD SUITE C EAST PATCHOGUE, NY 11772
Location Phone
(631) 307-9181
Location Fax
(631) 312-9187
Mailing Address
260 PATCHOGUE YAPHANK RD STE C EAST PATCHOGUE, NY 11772
Mailing Phone
(631) 307-9181
Mailing Fax
(631) 312-9187
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2014
Last Update Date
11-04-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICIA MOHAN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(631) 307-9181

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 667 times for 648 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 749 times for 740 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 115 times for 114 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 48 times for 48 patients

Diagnostic exam of large bowel using a flexible endoscope

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.

This service was performed 70 times for 69 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 39 times for 39 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 23 times for 21 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 572 times for 562 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2074874
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 18, 2014
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. RAVI SINGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Great South Bay Endoscopy Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366864514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 6 + 6 + 8 + 5 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1366864514.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
260 PATCHOGUE YAPHANK RD, STE F
EAST PATCHOGUE, NY 11772
Internal Medicine (Nephrology)
260 PATCHOGUE YAPHANK RD, SUITE F
EAST PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
EAST PATCHOGUE, NY 11772
Internal Medicine (Nephrology)
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Nurse Practitioner
260 PATCHOGUE YAPHANK RD
E PATCHOGUE, NY 11772
Ophthalmology
260 PATCHOGUE YAPHANK RD, SUITE A
EAST PATCHOGUE, NY 11772
Physician Assistant
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Internal Medicine (Nephrology)
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD, SUITE C
E PATCHOGUE, NY 11772
Nurse Practitioner (Adult Health)
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Nurse Practitioner (Adult Health)
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Internal Medicine (Nephrology)
260 PATCHOGUE YAPHANK RD, SUITE F
EAST PATCHOGUE, NY 11772
Internal Medicine (Gastroenterology)
260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366864514, enumerated as an "organization" on January 07, 2014.

The provider is located at 260 PATCHOGUE YAPHANK RD SUITE C EAST PATCHOGUE, NY 11772 and the phone number is (631) 307-9181.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.