Active NPI
Star Suites LLC
Doing business as Star Surgical Suites LLC
- Ambulatory Surgical Clinic/Center
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- STAR SUITES LLC
- Doing business as
- Star Surgical Suites LLC
- Practice address
- 623 Stewart Ave Ste 101
Garden City, NY 11530-4771 - Phone
- (516) 650-3355
- NPI assigned
- Nov 30, 2018
- Last updated
- Dec 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Inessa Montes
- Title
- Administrator
- Phone
- (516) 900-7690
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary | |
| Anesthesiology Physician | 207L00000X | NU |
Addresses
Primary practice location
623 Stewart Ave Ste 101
Garden City, NY 11530-4771
Mailing address
623 Stewart Ave Ste 101
Garden City, NY 11530-4771
Phone (516) 900-7690
Other names 1
- Star Surgical Suites LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Star Suites LLC Dba Star Surgical Suites LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2159044 | Star Suites LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
623 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 222-7827
Practitioners & affiliated clinicians
Practitioners 60
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639612800000",
"number": "1023588266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 STEWART AVE STE 101",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304771",
"telephone_number": "516-900-7690",
"fax_number": "929-214-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 STEWART AVE STE 101",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304771",
"telephone_number": "516-650-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR SUITES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-30",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "MONTES",
"authorized_official_first_name": "INESSA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-900-7690",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Star Surgical Suites LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.