Active NPI
Nassau Center for Ambulatory Surgery
- Ambulatory Surgical Clinic/Center
- Garden City, NY
National Provider Identifier
1114146883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 2905200R
- Legal business name
- NASSAU CENTER FOR AMBULATORY SURGERY
- Practice address
- 400 Endo Blvd
Garden City, NY 11530-6723 - Phone
- (516) 832-8504
- Fax
- (516) 832-1085
- NPI assigned
- Apr 24, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Fitzpatrick
- Title
- Administrator
- Phone
- (516) 832-8504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 2905200R | NY | Primary |
Addresses
Primary practice location
400 Endo Blvd
Garden City, NY 11530-6723
Mailing address
400 Endo Blvd
Garden City, NY 11530-6723
Phone (516) 832-8504
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IC0199 | Other | NY | HEALTHNET |
| 331007 | Other | NY | HIP ID |
| 003602 | Other | NY | BCBS |
| 14404 | Other | NY | AETNA |
| 01088980 | Medicaid | NY | |
| A382712 | Other | NY | OXFORD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114146883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ENDO BLVD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115306723",
"telephone_number": "516-832-8504",
"fax_number": "516-832-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ENDO BLVD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115306723",
"telephone_number": "516-832-8504",
"fax_number": "516-832-1085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASSAU CENTER FOR AMBULATORY SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FITZPATRICK",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-832-8504"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NY",
"license": "2905200R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "IC0199",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP ID",
"identifier": "331007",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "003602",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "14404",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01088980",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A382712",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
- Neha Narvekar, M.S., CCC-SLP/TSSLD
- Anna Lucille Nasci, OTRL
- Elizabeth A Nash, RN
- Ayesha Nashurdeen
- Ashley Nasimi
- Nassau Health Consultants Corp (Medi-Weightloss, Garden City)
- Nassau Medical Diagnostics, LLC
- Nassau Psychological Assessment Services, PLLC (Nassau Neuropsychology)
- Nassau Wellness Marriage and Family Therapy PLLC
- Noel Blythe Natoli, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.