Active NPI
Abbey Road Office Based Surgery PLLC
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1073743563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert B Jetter, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Plastic Surgery Physician
- New York, NY
- NPI 1508915471
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.