Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great South Bay Endoscopy Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1366864514

Great South Bay Endoscopy Center, LLC is an Ambulatory Surgical Clinic/Center in East Patchogue, New York. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

260 Patchogue Yaphank Rd Ste C
East Patchogue, NY 11772-4886
Phone: (631) 307-9181
Fax: (631) 312-9187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1366864514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Mohan — Administrator · (631) 307-9181
NPI enumeratedJanuary 7, 2014
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address260 Patchogue Yaphank Rd Ste C, East Patchogue, NY 11772-4886