72ND Street Surgery Realty Corp

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

72ND STREET SURGERY REALTY CORP

Practice address

302 E 72ND St
New York, NY 10021-4772

Phone

(212) 734-4488

NPI assigned

Mar 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edmund Kwan, MDNPI 1528088275

Title

Owner

Phone

(212) 734-4488

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edmund K Kwan, M.D.

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1528088275
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1164692869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214772",
            "telephone_number": "212-734-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214772",
            "telephone_number": "212-734-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "72ND STREET SURGERY REALTY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-4488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G06367N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 7 Hills RX Inc (Smart Aid Pharmacy)
• 71St JD Wellness Inc
• 72 W Acupuncture PC
• 72ND Street Dental Care PLLC
• 72ND Street Endoscopy Associates PC
• 731 Pharmacy Corp (Ivan Pharmacy)
• 737 Park Avenue Surgery Suite, P.C.
• 737 Park Avenue Surgical Suites, LLC (Park Avenue Surgery)
• 760 Park Endoscopy PLLC
• 786 RX Inc (East End Pharmacy)

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.