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KIPS BAY ENDOSCOPY CENTER, LLC
NPI 1912909169
Clinic/Center - Ambulatory Surgical in New York, NY

Active since June 01, 2005CLIA 33D1020134 · Waiver
535 2ND AVE, NEW YORK, NY 10016(212) 889-5477(212) 889-0517 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kips Bay Endoscopy Center, Llc NPPES

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

KIPS BAY ENDOSCOPY CENTER, LLC (NPI 1912909169) is a healthcare organization registered as an ambulatory surgical in New York, New York and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Alex Sherman, Medica Director, as its authorized official.

NPPES Registry Identity

NPI1912909169
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKIPS BAY ENDOSCOPY CENTER, LLC
Location Address535 2ND AVENew York, NY 10016-8275
Mailing Address535 2nd AveNew York, NY 10016-8275 · (212) 889-5477 · Fax (212) 889-0517
Phone(212) 889-5477
Fax(212) 889-0517
Organization SubpartNo
Authorized OfficialAlex ShermanMedica Director · (212) 889-5477
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1912909169 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 · 012454B
535 2ND AVE, New York, NY 10016
Open in Google Maps ↗

Other Identifiers 1

Medicaid02688228NY

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 33D1020134

Kips Bay Endoscopy Center LLC · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D1020134
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 12, 2003
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Anthony A. Starpoli
Laboratory Phone(212) 889-5477
Laboratory LocationKips Bay Endoscopy Center LLC535 Second Avenue, New York, NY 10016
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 12

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.
818 services787 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.
566 services564 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.
498 services497 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.
238 services237 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.
162 services162 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.
143 services143 patients

Other Providers at the Same Location NPPES 5

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

LAURIE K. MAYSICK M.D.
Anesthesiology
535 2ND AVE
NEW YORK, NY 10016
New York County (212) 889-5477
KIPS BAY ANESTHESIA PC
Anesthesiology
535 2ND AVE, KIPS BAY ANESTHESIA PC
NEW YORK, NY 10016
New York County (212) 889-5477
MRS. WENDY A MONKCOM MD
Anesthesiology
535 2ND AVE, KIPS BAY ENDOSCOPY CENTER LLC
NEW YORK, NY 10016
New York County (212) 889-5477
WIOLETTA TEDAWES
Registered Nurse (Administrator)
535 2ND AVE
NEW YORK, NY 10016
New York County (212) 889-5477
MR. POLAT NOVRUZOV MD
Anesthesiology
535 2ND AVE, KIPS BAY ENDOSCOPY CENTER
NEW YORK, NY 10016
New York County (212) 889-5477

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 Kips Bay Endoscopy Center, LLC's NPI number?

The NPI number for Kips Bay Endoscopy Center, LLC is 1912909169. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is Kips Bay Endoscopy Center, LLC located?

Kips Bay Endoscopy Center, LLC is located at 535 2nd Ave, New York, NY 10016. The listed phone number is (212) 889-5477.

What is Kips Bay Endoscopy Center, LLC's specialty?

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

Does Kips Bay Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1020134) 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 Kips Bay Endoscopy Center, LLC was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.