Protect Your Residents from Dangerous Swallowing Disorders with NDoscopy Mobile FEES

Flexible Endoscopic Evaluation of Swallowing - Greater NYC Area

Help your nursing facility residents avoid choking, pneumonia, and re-hospitalization while reducing your facility's costs and improving your residents' quality of life—all without them leaving your facility.

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Did you know that Dysphagia (Swallowing Disorder) affects 52.7% of nursing facility residents?

Dysphagia can lead to dangerous complications like malnutrition, pneumonia,

re-hospitalization, and, sadly, even choking/mortality. That means over half of

your residents could be at risk.

And if you're like most facilities we see, perhaps you're facing these challenges:

Treatment without Testing is Generalized and Less Effective

Swallowing is incredibly complex—it involves over 25 muscle groups and 5 cranial nerves, which means every resident's problem is different. When speech therapists (SLPs) can't see exactly what's happening inside the throat, they're forced to use generalized approaches, making treatment less effective and potentially keeping residents on restricted diets longer than necessary.

Hospital Studies are Costly, Disruptive, and Less Accurate

Before FEES, the only option was hospital-based Modified Barium Swallow studies (MBS), which cost $2,000+ including transport and radiation charges. MBS disrupts therapy sessions, exposes residents to illness and radiation, and involves lengthy scheduling delays of weeks. Additionally, MBS provides only general, black-and-white images, and assessments are often less accurate because they're performed by hospital SLPs who don't observe the residents' daily swallowing patterns.

Modified Diets are Expensive

and Frustrate Residents

Many facilities rely on mechanically-altered diets, like thickened liquids, costing $2,400 per resident annually. Yet studies show these aren't always safer—residents may actually be more likely to silently aspirate thickened liquids. Plus, when residents lose the enjoyment of eating foods they love, both they and their families become dissatisfied, often leading to poor reviews and facility transfers.

We understand.

Our passion is helping New York City nursing facilities solve these problems with our exceptional FEES Services.

Nicole DePalma, Founder of NDoscopy Dysphagia Specialists

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Get Superior Swallowing Studies & Treatment Plans at Your Facility for 75% Less

Personalized, Targeted Treatment

Our FEES Exam is an endoscopic exam that provides a clear, colorful image of your residents' exact swallowing mechanics. Based on the results, our speech therapist will work hand-in-hand with yours to develop a personalized therapy protocol that targets the specific issue.

Safe, Convenient On-Site Service for 75% less in costs

Our mobile service brings superior diagnostic capability right to your facility, keeping residents safe from hospital-acquired illness while maintaining their therapy schedule and saving your facility 75% compared to a hospital-based MBS Study!

Better Outcomes, Happier Residents

With targeted therapy based on precise imaging, residents have the best chance of returning to the foods they love—all while reducing your facility's costs for modified diets.

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The Happy Resident Protocol™

Our Approach to Exceptional FEES Services.

Here's how to get started!

Step 1 - Connect

Reach out to me (Nicole, founder) today, and I will personally connect you with your area's designated NDoscopy specialist to schedule an initial assessment with your facility speech therapist. Together, they will determine which patients are at risk and in need of a FEES.

Step 2 - Discover

Then, we'll perform the tests usually within 24-48 hours, during which the endoscopist and your speech therapist will work together to discover exactly where the swallowing complication is happening inside the resident’s throat and what is causing it.

Step 3 - Restore

Finally, the endoscopist will help your therapist put together a personalized, safe food plan for the time being, as well as a targeted therapy protocol with the goal of helping the resident potentially eat the foods they love again, restoring their enjoyment of everyday life.

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Meet Our Founder, Nicole DePalma

I understand. Like many SLPs, I chose this work because I wanted to help people. When I was younger, my grandfather had a stroke, and seeing him struggle with communication impacted me and was the initial catalyst for me becoming an SLP myself.

With over 25 years of experience in New York’s nursing facilities and having performed more endoscopies than any other provider in the area, I am grateful to have built a team of practitioners who are also highly-skilled and share the same mission. Every technician on my team must have 5 or more years of experience, complete our rigorous training program, have an in-depth understanding of how to help your facility bill properly for maximum insurance coverage, and have the same passion for treating each resident with the utmost care.

Give us a call today. We look forward to serving you.

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Serving the Greater New York City Area

48 Hour Scheduling

We get your FEES exams on the books within 48 hours of your therapist's needs.

Direct Communication

Call us today and you'll speak directly with Nicole or one of her Endoscopists - not a customer service rep.

Comprehensive Updates

We carefully craft each FEES report with our findings along with a targeted treatment plan so you have access to all of the information the therapist does. And you can call us with any additional questions.

Words From Our Clients

“NDoscopy Dysphagia Specialists has helped me provide the highest quality care for my patients! Their flexibility makes scheduling FEES simple and their comprehensive reports are readily available shortly after the evaluation. NDoscopy Dysphagia Specialists has proven to be professional and reliable time and time again.”

Katelyn Bryant, MS CCC-SLP

“Nicole is great - if I need a test done ASAP she makes times. Nicole is responsive if I have any questions, need therapy ideas, or want to talk through something as well. A must for all clinicians working with dysphagia patients. 11/10!!!!!!!!!!

Pauline Drumman, MS CCC-SLP

“Nicole is knowledgeable, fast to respond, and collaborative. Assessments and recommendations are shared in a timely manner, along with still photos to share with patients in assisting understanding of FEES results. Nicole is patient with residents and is supportive. She is always communicative and comforting with patients who may have reservations about the procedure.”

Ana Zgaljardic, MS CCC-SLP

“Nicole is a pleasure to work with. My patients and I have benefitted immensely from her thorough tests, reports , and recommendations. She doesn’t stop there. She’s always willing to answer a question and follows up on the patients’ progress. Her professionalism and caring demeanor are unique.