Surgicare of Westside, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICARE OF WESTSIDE, LLC

Practice address

438 W 51St St FL 5
New York, NY 10019-6503

Phone

(212) 584-9526

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Aaron Kessler

Title

Chief Operating Oficer

Phone

(973) 865-1242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Ambulatory surgical center certification: CCN 33C0001196

Legal name

SURGICARE OF WESTSIDE, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 20, 2021

Last certification

May 20, 2021

Ownership / control type

Proprietary

Facility address

438 W 51St Street
New York, NY 10019

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1083230833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W 51ST ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W 51ST ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196503",
            "telephone_number": "212-584-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE OF WESTSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFICER",
        "authorized_official_telephone_number": "973-865-1242"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgicare of Manhattan, LLC
• Teona Surguladze, PHARM D
• Amrisha Kaur Suri, OT
• Deepak Suri, DMD
• Komal Suri, DDS
• Pooja Suri

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, 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 Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.