GYPSY LANE ENDOSCOPY SUITES, INC.
NPI 1730614330
Clinic/Center - Ambulatory Surgical in Youngstown, OH

Active since April 21, 2017CLIA 36D2125616 · Waiver
630 GYPSY LN, YOUNGSTOWN, OH 44505(330) 743-9255(330) 743-9254 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gypsy Lane Endoscopy Suites, Inc. NPPES

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

GYPSY LANE ENDOSCOPY SUITES, INC. (NPI 1730614330) is a healthcare organization registered as an ambulatory surgical in Youngstown, Ohio and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Adel Youssef, President, as its authorized official.

NPPES Registry Identity

NPI1730614330
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGYPSY LANE ENDOSCOPY SUITES, INC.
Location Address630 GYPSY LNYoungstown, OH 44505-2170
Mailing Address1622 E Market StWarren, OH 44483-6613 · (330) 399-7215 · Fax (330) 399-2411
Fax(330) 743-9254
Organization SubpartNo
Authorized OfficialAdel YoussefPresident · (330) 399-7215
Enumeration DateApril 21, 2017
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1730614330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
630 GYPSY LN, Youngstown, OH 44505

Accepted 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 36D2125616

Gypsy Lane Endoscopy Suites, Inc · Youngstown, OH
Active · expires Feb 9, 2027
CLIA Number36D2125616
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorAdel I. Youssef
Laboratory Phone(330) 399-7215
Laboratory LocationGypsy Lane Endoscopy Suites, Inc630 Gypsy Lane, Youngstown, OH 44505
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 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.

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.
28 services28 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.
22 services22 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.
14 services14 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 Gypsy Lane Endoscopy Suites, Inc.'s NPI number?

The NPI number for Gypsy Lane Endoscopy Suites, Inc. is 1730614330. It was assigned to this organization in the NPPES registry on April 21, 2017.

Where is Gypsy Lane Endoscopy Suites, Inc. located?

Gypsy Lane Endoscopy Suites, Inc. is located at 630 Gypsy Ln, Youngstown, OH 44505. The listed phone number is (330) 743-9255.

What is Gypsy Lane Endoscopy Suites, Inc.'s specialty?

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

Does Gypsy Lane Endoscopy Suites, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2125616) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gypsy Lane Endoscopy Suites, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Gypsy Lane Endoscopy Suites, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gypsy Lane Endoscopy Suites, Inc. was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.