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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REGO PARK ENDO, LLC
NPI 1407642366
Clinic/Center - Ambulatory Surgical in Rego Park, NY

Active since April 17, 2025CLIA 33D2341412 · Waiver
9901 QUEENS BLVD FL 2, REGO PARK, NY 11374(718) 310-3904 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2026, Apr 21, 2026, Mar 31, 2026 and 1 more (4 updates tracked since 2026).

About Rego Park Endo, Llc NPPES

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

REGO PARK ENDO, LLC (NPI 1407642366) is a healthcare organization registered as an ambulatory surgical in Rego Park, New York and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Alexander Ingram, Member, as its authorized official.

NPPES Registry Identity

NPI1407642366
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameREGO PARK ENDO, LLC
Location Address9901 QUEENS BLVD FL 2Rego Park, NY 11374-4512
Mailing Address9901 Queens Blvd Fl 2Rego Park, NY 11374-4512 · (718) 310-3904
Phone(718) 310-3904
Organization SubpartNo
Authorized OfficialAlexander IngramMember · (718) 310-3904
Enumeration DateApril 17, 2025
Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1407642366 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
9901 QUEENS BLVD FL 2, Rego Park, NY 11374
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 33D2341412

Rego Park Endo LLC · Rego Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2341412
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. David Tenembaum
Laboratory Phone(718) 310-3904
Laboratory LocationRego Park Endo LLC9901 Queens Blvd - 2nd Fl, Rego Park, NY 11374
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rego Park Endo, LLC's NPI number?

The NPI number for Rego Park Endo, LLC is 1407642366. It was assigned to this organization in the NPPES registry on April 17, 2025.

Where is Rego Park Endo, LLC located?

Rego Park Endo, LLC is located at 9901 Queens Blvd Fl 2, Rego Park, NY 11374. The listed phone number is (718) 310-3904.

What is Rego Park Endo, LLC's specialty?

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

Does Rego Park Endo, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2341412) 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 Rego Park Endo, LLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.