Cean Surgical Plaza

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

225389 Issued in NY

Legal business name

CEAN SURGICAL PLAZA

Practice address

1200 Waters PL
Suite 106
Bronx, NY 10461-2728

Phone

(800) 975-5109

Fax

(718) 732-2511

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Conrad Fritz Cean, M.D.

Title

Medical Director

Phone

(800) 975-5109

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1104050517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 5TH AVE",
            "address_2": "SUITE 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262584",
            "telephone_number": "800-975-5109",
            "fax_number": "718-732-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE 106",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "800-975-5109",
            "fax_number": "718-732-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEAN SURGICAL PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "CEAN",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "FRITZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-975-5109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "225389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myungia Cayton, M.D.
• Heather Cayward, PA
• Pilar Cazares, LCSW
• CCN General Medicine PLLC
• Jillian C Cea
• Alba Luz Ceballos, LMSW
• Carolay Ceballos
• Jessica Ceballos, MSED
• Johanna Ceballos, LMSW
• Laura Ceballos

• Ambulatory Surgical Clinic/Center in Bronx, NY
• Providers in Bronx, 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 May 13, 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.

Verify at the official NPI Registry.