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PG COUNTY ENDOSCOPY CENTER LLC
NPI 1629713730
Clinic/Center - Ambulatory Surgical in Riverdale, MD

Active since May 03, 2022CLIA 21D2272259 · Waiver
6502 KENILWORTH AVE STE 200, RIVERDALE, MD 20737(410) 290-6677(410) 290-6676 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 12, 2025, May 3, 2022 (2 updates tracked since 2022).

About Pg County Endoscopy Center Llc NPPES

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

PG COUNTY ENDOSCOPY CENTER LLC (NPI 1629713730) is a healthcare organization registered as an ambulatory surgical in Riverdale, Maryland and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 16, 2026, maintains a secondary practice location in Riverdale, and lists Zachary D Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629713730
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePG COUNTY ENDOSCOPY CENTER LLC
Location Address6502 KENILWORTH AVE STE 200Riverdale, MD 20737-1371
Mailing Address7120 Minstrel Way Ste 100Columbia, MD 21045-5274 · (410) 290-6677 · Fax (410) 290-6676
Phone(410) 290-6677
Fax(410) 290-6676
Organization SubpartNo
Authorized OfficialZachary D JonesCeo · (207) 631-7837
Enumeration DateMay 3, 2022
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1629713730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6502 KENILWORTH AVE STE 200, Riverdale, MD 20737
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Secondary Practice Location 1

Location 16502 Kenilworth Ave Ste 100Riverdale, MD 20737-1372 · Phone (410) 290-6677 · Fax (410) 290-6676

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 21D2272259

Pg County Endoscopy Center LLC · Riverdale, MD
Active · expires Nov 16, 2026
CLIA Number21D2272259
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDr. Farzin Rashti
Laboratory Phone(410) 290-6677
Laboratory LocationPg County Endoscopy Center LLC6502 Kenilworth Avenue #200, Riverdale, MD 20737
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
67 services65 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.
59 services55 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.
32 services29 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 Pg County Endoscopy Center LLC's NPI number?

The NPI number for Pg County Endoscopy Center LLC is 1629713730. It was assigned to this organization in the NPPES registry on May 3, 2022.

Where is Pg County Endoscopy Center LLC located?

Pg County Endoscopy Center LLC is located at 6502 Kenilworth Ave Ste 200, Riverdale, MD 20737. The listed phone number is (410) 290-6677.

What is Pg County Endoscopy Center LLC's specialty?

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

Does Pg County Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2272259) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pg County Endoscopy Center LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.