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ENDOSCOPY CENTER OF CENTRAL NEW YORK
NPI 1801196050
Clinic/Center - Ambulatory Surgical in Fayetteville, NY

Active since October 21, 2010CLIA 33D1079083 · Waiver
NORTHEAST MEDICAL BUILDING CONDOMINIUM, SUITE 308, FAYETTEVILLE, NY 13066(315) 329-7301(315) 329-7302 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endoscopy Center Of Central New York NPPES

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

ENDOSCOPY CENTER OF CENTRAL NEW YORK (NPI 1801196050) is a healthcare organization registered as an ambulatory surgical in Fayetteville, New York and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Laureen H Ascenzo, Contact Person, as its authorized official.

NPPES Registry Identity

NPI1801196050
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAGCNY EAST LLC
Location AddressNORTHEAST MEDICAL BUILDING CONDOMINIUM, SUITE 308Fayetteville, NY 13066-6638
Mailing Address260 Township Blvd Ste 20Camillus, NY 13031-1678 · (315) 708-0091 · Fax (315) 708-0194
Phone(315) 329-7301
Fax(315) 329-7302
Organization SubpartNo
Authorized OfficialLaureen H AscenzoContact Person · (315) 708-0091
Enumeration DateOctober 21, 2010
Last NPPES UpdateMay 14, 2019
✔ NPI 1801196050 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 · PENDING
NORTHEAST MEDICAL BUILDING CONDOMINIUM, Fayetteville, NY 13066
Open in Google Maps ↗

Other Names 1

Doing Business AsEndoscopy Center Of Central New York

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 33D1079083

Endoscopy Center Of Central New York · Fayetteville, NY
Active · expires Mar 26, 2027
CLIA Number33D1079083
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 24, 2008
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Rayees Nizam
Laboratory Phone(315) 329-7301
Laboratory LocationEndoscopy Center Of Central New York4308 Medical Center Drive, Fayetteville, NY 13066
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 9

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.
166 services164 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.
148 services147 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.
97 services97 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.
90 services90 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.
50 services50 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.
37 services37 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 Agcny East LLC's NPI number?

The NPI number for Agcny East LLC is 1801196050. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Endoscopy Center Of Central New York.

Where is Agcny East LLC located?

Agcny East LLC is located at Northeast Medical Building Condominium Suite 308, Fayetteville, NY 13066. The listed phone number is (315) 329-7301.

What is Agcny East LLC's specialty?

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

Does Agcny East LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1079083) 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 Agcny East LLC was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.