RIVERSIDE ENDOSCOPY CENTER LLC
NPI 1619213303
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Q: What is Riverside Endoscopy Center LLC's NPI number?

The NPI number for Riverside Endoscopy Center LLC is 1619213303. It was assigned to this organization in the NPPES registry on December 27, 2012.

Q: What is Riverside Endoscopy Center LLC's specialty?

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

Active since December 27, 2012

2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 388-8686(904) 387-2659 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Riverside Endoscopy Center Llc NPPES

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

RIVERSIDE ENDOSCOPY CENTER LLC (NPI 1619213303) is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since December 2012. The organization lists Abdi Abbassi, President, as its authorized official.

NPPES Registry Identity

NPI1619213303

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRIVERSIDE ENDOSCOPY CENTER LLC

Location Address2151 RIVERSIDE AVEJacksonville, FL 32204-4416

Mailing Address2151 Riverside AveJacksonville, FL 32204-4416 · (904) 388-8686 · Fax (904) 387-2659

Phone(904) 388-8686

Fax(904) 387-2659

Organization SubpartNo

Authorized OfficialAbdi AbbassiPresident · (904) 388-8686

Enumeration DateDecember 27, 2012

Last NPPES UpdateAugust 27, 2020

NPPES CertifiedAugust 27, 2020

✔ NPI 1619213303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2151 RIVERSIDE AVE, Jacksonville, FL 32204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 10D2070076

Riverside Kingsley Endoscopy Surgicenter Llcdba Riverside Endoscopy Center · Jacksonville, FL

Expired · Dec 9, 2025

CLIA Number10D2070076

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 10, 2023

Certificate Expiration DateDecember 9, 2025

Laboratory DirectorAbdi Abbassi

Laboratory Phone(904) 388-8686

Laboratory LocationRiverside Kingsley Endoscopy Surgicenter Llcdba Riverside Endoscopy Center2151 Riverside Avenue Suite 1, Jacksonville, FL 32204

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 7

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.

440 services431 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.

401 services395 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.

116 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.

43 services42 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.

39 services38 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.

35 services34 patients

Other Providers at the Same Location NPPES 11

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

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