Organization Active NPI

East-West Surgical, P.C.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1083623151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
211628 Issued in NY
Legal business name
EAST-WEST SURGICAL, P.C.
Practice address
36 7TH Ave
New York, NY 10011-6609
Phone
(212) 647-0404
Fax
(212) 647-0499
NPI assigned
Aug 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Carol Luck, M.D.
Title
President
Phone
(212) 647-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 211628 NY Primary

Addresses

Primary practice location

36 7TH Ave
New York, NY 10011-6609

Mailing address

PO Box 1266
New York, NY 10009-8941

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083623151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116609",
            "telephone_number": "212-647-0404",
            "fax_number": "212-647-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST-WEST SURGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-647-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "211628",
            "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 Jul 21, 2022; 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.