ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC
NPI 1710904701
Clinic/Center - Ambulatory Surgical in Brooklyn, NY

Active since July 16, 2006CLIA 33D1030797 · Waiver
560 BAY RIDGE PKWY, BROOKLYN, NY 11209(718) 748-5219(718) 439-4873 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endoscopic Diagnostic & Treatment Center Llc NPPES

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

ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC (NPI 1710904701) is a healthcare organization registered as an ambulatory surgical in Brooklyn, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Lisa Dowd, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710904701
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER LLC
Location Address560 BAY RIDGE PKWYBrooklyn, NY 11209-3310
Mailing Address560 Bay Ridge PkwyBrooklyn, NY 11209-3310 · (718) 748-5219 · Fax (718) 439-4873
Fax(718) 439-4873
Organization SubpartNo
Authorized OfficialLisa DowdOffice Manager · (718) 748-5219
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 16, 2013
NPI 1710904701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NY · 7001122R
560 BAY RIDGE PKWY, Brooklyn, NY 11209

Other Identifiers 2

Medicaid02748561NY
Medicare PINZ90491NY

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 33D1030797

Endoscopic Diagnosis & Treatment Center · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D1030797
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 30, 2009
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Paul R. Piccione
Laboratory Phone(718) 748-5219
Laboratory LocationEndoscopic Diagnosis & Treatment Center560 Bay Ridge Pkwy, Brooklyn, NY 11209
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
160 services159 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.
156 services155 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.
80 services80 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.
80 services79 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
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.
21 services20 patients

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
560 BAY RIDGE PKWY
BROOKLYN, NY 11209
Anesthesiology
560 BAY RIDGE PKWY
BROOKLYN, NY 11209
Internal Medicine (Gastroenterology)
560 BAY RIDGE PKWY
BROOKLYN, NY 11209
Anesthesiology
560 BAY RIDGE PKWY
BROOKLYN, NY 11209
Internal Medicine (Gastroenterology)
560 BAY RIDGE PKWY
BROOKLYN, NY 11209
Specialist
560 BAY RIDGE PKWY
BROOKLYN, NY 11209
Anesthesiology
560 BAY RIDGE PKWY
BROOKLYN, NY 11209
Anesthesiology
560 BAY RIDGE PKWY
BROOKLYN, NY 11209

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 Endoscopic Diagnostic & Treatment Center LLC's NPI number?

The NPI number for Endoscopic Diagnostic & Treatment Center LLC is 1710904701. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Endoscopic Diagnostic & Treatment Center LLC located?

Endoscopic Diagnostic & Treatment Center LLC is located at 560 Bay Ridge Pkwy, Brooklyn, NY 11209. The listed phone number is (718) 748-5219.

What is Endoscopic Diagnostic & Treatment Center LLC's specialty?

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

Does Endoscopic Diagnostic & Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1030797) 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 Endoscopic Diagnostic & Treatment Center LLC was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.