NPIMap

Organization Active NPI

Assure Surgical PC

  • Specialist
  • Woodmere, NY
National Provider Identifier
1184034092
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CERT # 1855 Issued in NY
Legal business name
ASSURE SURGICAL PC
Practice address
19 Irving PL
Woodmere, NY 11598-1229
Phone
(516) 295-0404
Fax
(516) 368-3768
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. David K. Funt, M.D.NPI 1295802940
Title
President
Phone
(516) 295-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CERT # 1855 NY Primary

Addresses

Primary practice location

19 Irving PL
Woodmere, NY 11598-1229

Mailing address

19 Irving PL
Woodmere, NY 11598-1229
Phone (516) 295-0404

Other identifiers 1

IdentifierTypeStateIssuer
1855OtherNYAMERICAN ASSOCIATION FOR ACCCREDITATION OF AMBULATORY SURGERY FACILITIIES, INC.

National Provider Directory

National Provider Directory

Locations

19 Irving Pl
Woodmere, NY 11598
Phone (516) 295-0404

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1184034092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981229",
            "telephone_number": "516-295-0404",
            "fax_number": "516-368-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981229",
            "telephone_number": "516-295-0404",
            "fax_number": "516-368-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURE SURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "FUNT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-295-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "CERT # 1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION FOR ACCCREDITATION OF AMBULATORY SURGERY FACILITIIES, INC.",
            "identifier": "1855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.