NPIMap

Organization Active NPI

Museum Mile Office Based Surgical Facility

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1063554111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
127687 Issued in NY
Legal business name
MUSEUM MILE OFFICE BASED SURGICAL FACILITY
Practice address
1016 Fifth Avenue
New York, NY 10028-0132
Phone
(212) 535-2300
Fax
(212) 535-0780
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John E Sherman X, M.D.NPI 1871650820
Title
President
Phone
(212) 535-2300

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 127687 NY Primary

Addresses

Primary practice location

1016 Fifth Avenue
New York, NY 10028-0132

Mailing address

1016 5TH Ave
New York, NY 10028-0132
Phone (212) 535-2300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063554111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280132",
            "telephone_number": "212-535-2300",
            "fax_number": "212-535-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 FIFTH AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280132",
            "telephone_number": "212-535-2300",
            "fax_number": "212-535-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSEUM MILE OFFICE BASED SURGICAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-535-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "127687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.