CSR Outpatient Medical Services, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CSR OUTPATIENT MEDICAL SERVICES, LLC

Practice address

585 Broadway
Massapequa, NY 11758-5023

Phone

(516) 797-1234

Fax

(516) 797-1932

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Charles Miceli, MD

Title

Ceo

Phone

(516) 797-1234

Specialties & licenses 1

Addresses

Tax ID family

CSR Outpatient Medical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CSR Outpatient Medical Services, LLC

  • Ambulatory Surgical Clinic/Center
  • Massapequa, NY
  • NPI 1871824474
  NPD tax ID

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1093149650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142408",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585023",
            "telephone_number": "516-797-1234",
            "fax_number": "516-797-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSR OUTPATIENT MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-797-1234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul V. Crespi, DDS
• Michael Crespo
• Evan Cressman, PA
• Robert Anthony Crimi, D.C.
• CS Medical Associates, P.C. (Victory Recovery Partners)
• CSR Outpatient Medical Services, LLC
• Gladys L Cudjoe, LCSW, MASTER-CASAC
• Joan Gavitt Cumisky
• Maria Cusumano
• Valerie Cusumano

• Ambulatory Surgical Clinic/Center in Massapequa, NY
• Providers in Massapequa, 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 Aug 30, 2013; 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.