GRAND STREET GASTROENTEROLOGY, INC.
NPI 1831259795
Clinic/Center - Ambulatory Surgical in Kingston, NY

Active since December 11, 2006CLIA 33D2221407 · Waiver
33 GRAND ST, KINGSTON, NY 12401(845) 853-8106(845) 853-8093 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Street Gastroenterology, Inc. NPPES

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

GRAND STREET GASTROENTEROLOGY, INC. (NPI 1831259795) is a healthcare organization registered as an ambulatory surgical in Kingston, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Stephanie Clearwater, Office Mgr./administrator, as its authorized official.

NPPES Registry Identity

NPI1831259795
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRAND STREET GASTROENTEROLOGY, INC.
Location Address33 GRAND STKingston, NY 12401-3933
Mailing Address33 Grand StKingston, NY 12401-3933 · (845) 338-2300 · Fax (845) 338-9711
Fax(845) 853-8093
Organization SubpartNo
Authorized OfficialStephanie ClearwaterOffice Mgr./administrator · (845) 853-8106
Enumeration DateDecember 11, 2006
Last NPPES UpdateMay 20, 2021
NPPES CertifiedMay 20, 2021
NPI 1831259795 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 · 5501209R
33 GRAND ST, Kingston, NY 12401

Other Identifiers 1

Medicaid02523619NY

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 33D2221407

Grand Street Gastroenterology · Kingston, NY
Active · expires Mar 26, 2027
CLIA Number33D2221407
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 21, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Hal N. Buch
Laboratory Phone(845) 331-8146
Laboratory LocationGrand Street Gastroenterology33 Grand Street, Suite 33B, Kingston, NY 12401
CLIA data matches this NPI record on: Address Name
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.
133 services128 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.
94 services94 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.
58 services58 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.
41 services41 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.
36 services36 patients

Other Providers at the Same Location NPPES 3

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

Colon & Rectal Surgery
33 GRAND ST
KINGSTON, NY 12401
Internal Medicine (Gastroenterology)
33 GRAND ST, GRAND STREET GASTROENTEROLOGY
KINGSTON, NY 12401
Colon & Rectal Surgery
33 GRAND ST
KINGSTON, NY 12401

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 Grand Street Gastroenterology, Inc.'s NPI number?

The NPI number for Grand Street Gastroenterology, Inc. is 1831259795. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Grand Street Gastroenterology, Inc. located?

Grand Street Gastroenterology, Inc. is located at 33 Grand St, Kingston, NY 12401. The listed phone number is (845) 853-8106.

What is Grand Street Gastroenterology, Inc.'s specialty?

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

Does Grand Street Gastroenterology, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2221407) 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 Grand Street Gastroenterology, Inc. was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.