Columbia East Side Ambulatory Surgery, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

161860 Issued in NY

Legal business name

COLUMBIA EAST SIDE AMBULATORY SURGERY, PC

Practice address

80 East 77TH Street
#1B
New York, NY 10075

Phone

(212) 988-0463

Fax

(212) 988-0527

NPI assigned

Jan 22, 2013

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darrick E Antell, MD

Title

Medical Director

Phone

(212) 988-0463

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1003154295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EAST 77TH STREET",
            "address_2": "#1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-988-0463",
            "fax_number": "212-988-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EAST 77TH STREET",
            "address_2": "#1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-988-0463",
            "fax_number": "212-988-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA EAST SIDE AMBULATORY SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "ANTELL",
        "authorized_official_first_name": "DARRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-988-0463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "161860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Elizabeth Colucco, OTR/L
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• Columbia Advanced Nurse Practioners
• Columbia Dental Faculty Practice
• Columbia Dental Services
• Columbia Medical Center
• Columbia New York Presbyterian
• Columbia Opticians Inc
• Columbia Presbyterian Hospital
• Columbia Presbyterian Hospital

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.