Organization Active NPI

Nassau Center for Ambulatory Surgery

  • Ambulatory Surgical Clinic/Center
  • Garden City, NY
National Provider Identifier
1114146883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2905200R Issued in NY
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IC0199OtherNYHEALTHNET
331007OtherNYHIP ID
003602OtherNYBCBS
14404OtherNYAETNA
01088980MedicaidNY
A382712OtherNYOXFORD

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.