Riverside Kingsley Endoscopy Surgicenter, LLC
NPI 1770305104 · Ambulatory Surgical Clinic/Center · Orange Park, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside Kingsley Endoscopy Surgicenter, LLC is a Ambulatory Surgical Clinic/Center organization in Orange Park, FL (NPI 1770305104).
Provider details
- NPI number
- 1770305104
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Swinney, Vp/Cfo(972) 789-2877
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kingsley Endoscopy Center
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Riverside Kingsley Endoscopy Surgicenter, LLC's NPI number?
- Riverside Kingsley Endoscopy Surgicenter, LLC's National Provider Identifier (NPI) is 1770305104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Kingsley Endoscopy Surgicenter, LLC?
- Riverside Kingsley Endoscopy Surgicenter, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Riverside Kingsley Endoscopy Surgicenter, LLC located?
- Riverside Kingsley Endoscopy Surgicenter, LLC's practice location on file with NPPES is 870 Kingsley Ave, Orange Park, FL 32073-4752.
- What is Riverside Kingsley Endoscopy Surgicenter, LLC's phone number?
- The practice phone number listed in the NPPES registry for Riverside Kingsley Endoscopy Surgicenter, LLC is (904) 388-8686.
- Does Riverside Kingsley Endoscopy Surgicenter, LLC accept Medicare?
- Riverside Kingsley Endoscopy Surgicenter, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Riverside Kingsley Endoscopy Surgicenter, LLC?
- The authorized official listed on Riverside Kingsley Endoscopy Surgicenter, LLC's NPPES record is William Swinney, Vp/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Kingsley Endoscopy Surgicenter, LLC's NPI active?
- Yes — Riverside Kingsley Endoscopy Surgicenter, LLC's NPI (1770305104) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.