Organization Active NPI

Central Queens Day Surgical Center, Inc.

Doing business as Queens Surgi-Center

  • Multi-Specialty Clinic/Center
  • Glendale, NY
National Provider Identifier
1053564799
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7003242R Issued in NY
Legal business name
CENTRAL QUEENS DAY SURGICAL CENTER, INC.
Doing business as
Queens Surgi-Center
Practice address
8340 Woodhaven Blvd
Glendale, NY 11385-7824
Phone
(718) 849-8700
Fax
(718) 849-6523
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mrs. Emily Doukas
Title
Office Manager
Phone
(718) 849-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7003242R NY Primary

Addresses

Primary practice location

8340 Woodhaven Blvd
Glendale, NY 11385-7824

Mailing address

8340 Woodhaven Blvd
Glendale, NY 11385-7824
Phone (718) 849-8700

Other identifiers 1

IdentifierTypeStateIssuer
01373564MedicaidNY

Other names 1

  • Queens Surgi-Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1053564799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 WOODHAVEN BLVD",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857824",
            "telephone_number": "718-849-8700",
            "fax_number": "718-849-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 WOODHAVEN BLVD",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857824",
            "telephone_number": "718-849-8700",
            "fax_number": "718-849-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL QUEENS DAY SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "DOUKAS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-849-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7003242R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01373564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Surgi-Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.