NPIMap

Organization Active NPI

Renal Focus ASC LLC

Doing business as Renal Focus ASC Plainview

  • Ambulatory Surgical Clinic/Center
  • Plainview, NY
National Provider Identifier
1003575218
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RENAL FOCUS ASC LLC
Doing business as
Renal Focus ASC Plainview
Practice address
671 Old Country Rd
Plainview, NY 11803-4910
Phone
(516) 898-7299
Fax
(516) 898-7301
NPI assigned
Dec 15, 2021
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Gregg Miller, MDNPI 1942273560
Title
Authorized Official
Phone
(717) 515-4048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

671 Old Country Rd
Plainview, NY 11803-4910

Mailing address

PO Box 411230
Boston, MA 02241-1230
Phone (610) 644-8900

Other names 1

  • Renal Focus ASC Plainview Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220118000807 NY Part B Supplier - Ambulatory Surgical Center 6406248756 Practice locations: Plainview, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Renal Focus ASC LLC Dba Renal Focus ASC PlainviewCCN 33C0001208
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2245771Renal Focus ASC LLC Dba Renal Focus ASC LLC671 Old Country Rd, Plainview, NY 11803Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Renal Focus ASC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1003575218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411230",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411230",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034910",
            "telephone_number": "516-898-7299",
            "fax_number": "516-898-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL FOCUS ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-515-4048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Focus ASC Plainview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renal Focus ASC Plainview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.