Island Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ISLAND AMBULATORY SURGERY CENTER

Practice address

2279-83 Coney Island Ave
1St Floor
Brooklyn, NY 11223-3337

Phone

(718) 998-9400

Fax

(718) 998-9401

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Leonid Reyfman, MDNPI 1659440394

Title

Ceo

Phone

(917) 837-9507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Island Ambulatory Surgery CenterCCN 33C0001152

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonid Reyfman, MD

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1659440394
  Medicare reassignment NPD Authorized official
• Leonid Chernyak, DO

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1457507469
  Medicare reassignment NPD

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1033517263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279-83 CONEY ISLAND AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9400",
            "fax_number": "718-998-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279-83 CONEY ISLAND AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233337",
            "telephone_number": "718-998-9400",
            "fax_number": "718-998-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "REYFMAN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-837-9507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehana Islam
• Saeema Islam
• Shamin Fatema Islam, DO
• Tasnia Islam
• Nigora Islambekova
• Island Emergency Medical Services PC
• Island Express Pharmacy Inc
• Island Heights Pediatrics PC
• Island Medical Consilium PLLC
• Island Musculoskeletal Care MD PC

• Ambulatory Surgical Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 23, 2015; 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.