Alpha Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALPHA AMBULATORY SURGERY CENTER, LLC

Doing business as

Alpha Ambulatory Surgery Center

Practice address

110 E 60TH St Ste 404
New York, NY 10022-1694

Phone

(212) 319-3977

Fax

(212) 721-0806

NPI assigned

Oct 20, 2022

Last updated

Mar 5, 2024By 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

Annia Lopez

Title

Assistant Director of the Billing D

Phone

(212) 319-3977

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• ALPHA AMBULATORY SURGERY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033836093. Details of each certification follow.

• CCN 33C0001224 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 33C0001224

Legal name

Alpha Ambulatory Project

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 11, 2025

Last certification

Feb 28, 2025

Facility address

110 E 60th Street, STE 404
Ny, NY 10022

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 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.

• Ali Aboufares, MD

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1508837287
  Medicare reassignment NPD
• Persio David Lopez Loyo, MD

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1629454467
  Medicare reassignment NPD
• Partha Sardar, MD

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1922356344
  Medicare reassignment NPD
• Rami Tariq Sartawi, M.D.

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1063679447
  Medicare reassignment NPD
• Robert Otterbeck, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1487064077
  NPD

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1033836093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 3RD AVE STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658114",
            "telephone_number": "212-319-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST STE 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221694",
            "telephone_number": "212-319-3977",
            "fax_number": "212-721-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANNIA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF THE BILLING D",
        "authorized_official_telephone_number": "212-319-3977"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00329451",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06077421",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04568883",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05721540",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALPHA AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeleine Grace Alpert
• Matthew Alpert, OTR/L
• Michelle Ellen Alpert, DO
• Stephanie Alpert, PH.D.
• David M Alpeter, M.D.
• Alpha Care Medical Equipment and Supplies LLC
• Alpha Imaging Consultants, PLLC
• Alpha Wellcare
• Alphabet Adult Daycare Inc.
• Alphabet City Medicine, P.C. (Radish Health)

• 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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.