Organization Active NPI

Millennium Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1104068485
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Millenium Ambulatory Surgery CenterCCN 33C0001116
Medicare certification status
Active (Provider of Services file)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20120112000221 NY Part B Supplier - Ambulatory Surgical Center 8123295201 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1408 Ocean Ave
Fl 1
Brooklyn, NY 11230
Phone (718) 725-8900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.