Queens Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

QUEENS SURGICAL CENTER LLC

Practice address

3636 Main St Ste 1S
Flushing, NY 11354-6517

Phone

(347) 592-1120

Fax

(800) 550-4779

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Brian S Pun

Title

Managing Member

Phone

(347) 592-1120

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Queens Surgical CenterCCN 33C0001192

Medicare certification status

ActiveFrom the Provider of Services file

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kings Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1992642334
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhanu Seth

  • Anesthesiology Physician
  • New York, NY
  • NPI 1295231322
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1083220123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 MAIN ST STE 1S",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546517",
            "telephone_number": "347-592-1120",
            "fax_number": "800-550-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 MAIN ST STE 1S",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546517",
            "telephone_number": "347-592-1120",
            "fax_number": "800-550-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "PUN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-592-1120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Optometric Associates PC
• Queens Oral and Facial Surgery
• Queens Physician Associates, PC
• Queens Recovery Center, LLC
• Queens Relationship Counseling LCSW PLLC
• Queens Vision Optometry PC
• Queens Wellness Physical Therapy PC
• Queens-Long Island Oncology & Hematology, P.C.
• Queensboro Dental PC
• Queensboro Dental PC

• Ambulatory Surgical Clinic/Center in Flushing, NY
• Providers in Flushing, 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 Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.