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LIBERTY ENDOSCOPY, LLC
NPI 1689029316
Clinic/Center - Ambulatory Surgical in New York, NY

Active since May 02, 2016CLIA 33D2123068 · Waiver
156 WILLIAM ST, 4TH FLOOR, NEW YORK, NY 10038(646) 215-2244(646) 215-2245 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2025, Oct 7, 2021, Mar 8, 2021 and 4 more (7 updates tracked since 2017).

About Liberty Endoscopy, Llc NPPES

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

LIBERTY ENDOSCOPY, LLC (NPI 1689029316) is a healthcare organization registered as an ambulatory surgical in New York, New York and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Juliana De Campos, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689029316
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLIBERTY ENDOSCOPY, LLC
Location Address156 WILLIAM ST, 4TH FLOORNew York, NY 10038
Mailing Address156 William St Fl 4New York, NY 10038-2609 · (646) 215-2244 · Fax (646) 215-2245
Phone(646) 215-2244
Fax(646) 215-2245
Organization SubpartNo
Authorized OfficialJuliana De CamposAdministrator · (646) 215-2244
Enumeration DateMay 2, 2016
Last NPPES UpdateNovember 4, 20257 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1689029316 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
156 WILLIAM ST, New York, NY 10038
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Endoscopy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Liberty Endoscopy, LLC, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Anesthesiology38
Interventional Pain Management1

Nearest to this location (20)

See all 39
Anastasia Lowenfeld, MD
Anesthesiology
NPI 1740262609
310 E 14TH ST
New York, NY 10003
(212) 979-4000
✔ PECOS1.9 mi
Daphne Pierre-Paul, MD
Anesthesiology
NPI 1417147679
310 E. 14TH STREET
New York, NY 10003
(212) 979-4000
✔ PECOS✔ Accepts Medicare1.9 mi
Christopher Singh, M.D.
Anesthesiology
NPI 1376922112
121 DEKALB AVE
Brooklyn, NY 11201
(718) 483-0400
✔ PECOS2.0 mi
Sunay Ravindra, MD
Anesthesiology
NPI 1982806410
301 E 17TH ST
New York, NY 10003
(212) 598-6000
✔ PECOS✔ Accepts Medicare2.1 mi
Gerald Park, MD
Anesthesiology
NPI 1386842540
55W 17TH STREET SUITE 102
New York, NY 10011
(212) 378-9983
✔ PECOS✔ Accepts Medicare2.1 mi
Lauren Rosario
Anesthesiology
NPI 1245793306
380 2ND AVE STE 1000
New York, NY 10010
(212) 254-3570
✔ PECOS2.3 mi
Leslie Ojea, M.D.
Anesthesiology
NPI 1306803598
423 E 23RD ST
New York, NY 10010
(212) 686-7500
✔ PECOS✔ Accepts Medicare2.4 mi
Andrew Greenberg
Anesthesiology
NPI 1659759777
550 1ST AVE
New York, NY 10016
(212) 263-5506
✔ PECOS✔ Accepts Medicare2.8 mi
Anne Tretin, M.D.
Anesthesiology
NPI 1952781312
550 1ST AVE
New York, NY 10016
(212) 263-5506
✔ PECOS✔ Accepts Medicare2.8 mi
Thalia Segal, M.D.
Anesthesiology
NPI 1528051760
550 1ST AVE RUSK 607
New York, NY 10016
(212) 263-5072
✔ PECOS✔ Accepts Medicare2.8 mi
Vikash Dugar, MD
Anesthesiology
NPI 1154541175
535 5TH AVE FL 5
New York, NY 10017
(212) 682-2828
✔ PECOS✔ Accepts Medicare3.4 mi
Anita Patel, M.D.
Anesthesiology
NPI 1972762664
4615 CENTER BLVD APT 310
Long Island City, NY 11109
(402) 578-6819
✔ PECOS✔ Accepts Medicare3.7 mi
Jonathan Preminger
Anesthesiology
NPI 1669960142
525 E 68TH ST
New York, NY 10065
(212) 716-5454
✔ PECOS✔ Accepts Medicare4.6 mi
Aysha Sultana, MD
Anesthesiology
NPI 1528687191
525 E 68TH ST
New York, NY 10065
(212) 746-5454
✔ PECOS4.6 mi
Matthew Bertram, MD
Anesthesiology
NPI 1659381861
535 E 70TH ST
New York, NY 10021
(126) 061-2062
✔ PECOS✔ Accepts Medicare4.7 mi
Vijay Verma, M.D.
Anesthesiology
NPI 1851604391
450 CLARKSON AVE
Brooklyn, NY 11203
(718) 270-1000
✔ PECOS✔ Accepts Medicare4.9 mi
Kurien Thomas, MD
Anesthesiology
NPI 1346246014
100 E 77TH ST
New York, NY 10021
(212) 434-2878
✔ PECOS✔ Accepts Medicare5.1 mi
Marina Feldman, MD
Anesthesiology
NPI 1104008713
930 SAINT NICHOLAS AVE APT 57
New York, NY 10032
(917) 648-8325
✔ PECOS✔ Accepts Medicare9.1 mi
Tricia Mahabir, D.O.
Anesthesiology
NPI 1982913737
475 SEAVIEW AVE
Staten Island, NY 10305
(917) 797-1900
✔ PECOS✔ Accepts Medicare9.6 mi
Jason Yu, M.D.
Interventional Pain Management
NPI 1669609996
3712 PRINCE ST STE 3B
Flushing, NY 11354
(866) 777-3798
✔ PECOS✔ Accepts Medicare9.7 mi
See all 39 clinicians

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

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 33D2123068

Liberty Endo LLC · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2123068
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 13, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Peter S. Kim
Laboratory Phone(646) 215-2244
Laboratory LocationLiberty Endo LLC156 William Street, New York, NY 10038
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 6

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.
128 services120 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.
118 services117 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.
53 services53 patients
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251
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.
15 services15 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.
13 services13 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.
12 services12 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 Liberty Endoscopy, LLC's NPI number?

The NPI number for Liberty Endoscopy, LLC is 1689029316. It was assigned to this organization in the NPPES registry on May 2, 2016.

Where is Liberty Endoscopy, LLC located?

Liberty Endoscopy, LLC is located at 156 William St 4th Floor, New York, NY 10038. The listed phone number is (646) 215-2244.

What is Liberty Endoscopy, LLC's specialty?

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

Is Liberty Endoscopy, LLC enrolled in Medicare?

Yes. Liberty Endoscopy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Endoscopy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 2 Medicare specialties reassign their Medicare billing to Liberty Endoscopy, 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 Anesthesiology (38) and Interventional Pain Management (1). Of these, 21 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Liberty Endoscopy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2123068) 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 Liberty Endoscopy, LLC was last updated on November 4, 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.