Active NPI
737 Park Avenue Surgical Suites, LLC
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1124725312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- 737 PARK AVENUE SURGICAL SUITES, LLC
- Practice address
- 737 Park Ave FRNT 1B
New York, NY 10021-4248 - Phone
- (212) 794-5096
- Fax
- (917) 591-1312
- NPI assigned
- Feb 8, 2023
- 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
- Jonathan Glashow, MD
- Title
- Owner
- Phone
- (212) 794-5096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
737 Park Ave FRNT 1B
New York, NY 10021-4248
Mailing address
737 Park Ave FRNT 1B
New York, NY 10021-4248
Phone (212) 794-5096
Other names 1
- Park Avenue Surgery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2324984 | 737 Park Ave Surgical Suites LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1124725312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 PARK AVE FRNT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214248",
"telephone_number": "212-794-5096",
"fax_number": "917-591-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 PARK AVE FRNT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214248",
"telephone_number": "212-794-5096",
"fax_number": "917-591-1312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "737 PARK AVENUE SURGICAL SUITES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-08",
"last_updated": "2025-01-23",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "GLASHOW",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-794-5096",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Avenue Surgery",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Park Avenue Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.