{"npi":"1619213303","type":"NPI-2","status":"active","name":{"display":"Riverside Endoscopy Center LLC","other":[],"organization_name":"RIVERSIDE ENDOSCOPY CENTER LLC","authorised_official":"Abdi Abbassi"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2151 RIVERSIDE AVE","city":"JACKSONVILLE","state":"FL","postal_code":"322044416","country_code":"US","phone":"9043888686","fax":"9043872659"},{"purpose":"MAILING","street_1":"2151 RIVERSIDE AVE","city":"JACKSONVILLE","state":"FL","postal_code":"322044416","country_code":"US","phone":"9043888686","fax":"9043872659"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20131219000295","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"FL","pac_id":"2466689443"}]},"enumeration_date":"2012-12-27","last_updated":"2020-08-27","_meta":{"source":"NPPES","snapshot_date":"2020-08-27","doc_url":"https://findmynpi.com/api"}}