Active NPI
Millennium Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
National Provider Identifier
1104068485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MILLENNIUM AMBULATORY SURGERY CENTER, LLC
- Practice address
- 1408 Ocean Avenue
1St Floor
Brooklyn, NY 11230 - Phone
- (718) 725-8900
- Fax
- (718) 876-0343
- NPI assigned
- Apr 1, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Michael Ash, CST, FA
- Title
- Administrator
- Phone
- (718) 725-8900
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1497825434
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Millenium Ambulatory Surgery Center
- Medicare certification status
- Active
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120112000221 | NY | Part B Supplier - Ambulatory Surgical Center | 8123295201 |
Receives reassigned benefits from 1 practitioner Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
1408 Ocean Ave
Fl 1
Brooklyn, NY 11230
Phone (718) 725-8900
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1408 Ocean Avenue
1St Floor
Brooklyn, NY 11230
Mailing address
1408 Ocean Avenue
1St Floor
Brooklyn, NY 11230
Phone (718) 725-8900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2011.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309478400000",
"number": "1104068485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 OCEAN AVENUE",
"address_2": "1ST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-725-8900",
"fax_number": "718-876-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 OCEAN AVENUE",
"address_2": "1ST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-725-8900",
"fax_number": "718-876-0343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2011-07-01",
"status": "A",
"authorized_official_last_name": "ASH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "718-725-8900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CST, FA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.