Organization Active NPI

737 Park Avenue Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1124725312
Registry record updated Jan 23, 2025
On this page

Key facts

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

Updated by the provider on Jan 23, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2324984737 Park Ave Surgical Suites LLC737 Park Ave - Suite 1B, New York, NY 10021Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.