Organization Active NPI

Abbey Road Office Based Surgery PLLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1073743563
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ABBEY ROAD OFFICE BASED SURGERY PLLC
Practice address
737 Park Ave
New York, NY 10021-4256
Phone
(212) 517-5200
Fax
(212) 737-5657
NPI assigned
Jul 20, 2009
Last updated
Sep 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Robert B Jetter, MDNPI 1508915471
Title
Owner
Phone
(212) 517-5200

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 Primary

Addresses

Primary practice location

737 Park Ave
New York, NY 10021-4256

Mailing address

737 Park Ave
New York, NY 10021-4256
Phone (212) 517-5200

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": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1073743563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214256",
            "telephone_number": "212-517-5200",
            "fax_number": "212-737-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214256",
            "telephone_number": "212-517-5200",
            "fax_number": "212-737-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEY ROAD OFFICE BASED SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "JETTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-517-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Sep 3, 2009; 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.