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

Rego Park Endo, LLC

Organization Anesthesiology Physician · NPI 1407642366

Rego Park Endo, LLC is an Anesthesiology Physician in Rego Park, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9901 Queens Blvd Fl 2
Rego Park, NY 11374-4512
Phone: (718) 310-3904
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
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1407642366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Ingram — Member · (718) 310-3904
NPI enumeratedApril 17, 2025
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address9901 Queens Blvd Fl 2, Rego Park, NY 11374-4512

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