Performance Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PERFORMANCE SURGICAL CENTER LLC

Practice address

1408 Ocean Ave FL 1
Brooklyn, NY 11230-3814

Phone

(718) 725-8900

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Sandro Starna

Title

Chief Financial Officer and Princip

Phone

(718) 725-8900

Specialties & licenses 1

Addresses

Other names 1

• Performance Surgical Center LLC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 33C0001219

Legal name

Performance Surgical Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 14, 2024

Last certification

Jun 24, 2024

Ownership / control type

Proprietary

Facility address

1408 Ocean Avenue, Fl 1
Brooklyn, NY 11230

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Winston Phillips, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Norwood, NJ
  • NPI 1205090974
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1184499196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401639",
            "telephone_number": "718-725-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 OCEAN AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303814",
            "telephone_number": "718-725-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "STARNA",
        "authorized_official_first_name": "SANDRO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER AND PRINCIP",
        "authorized_official_telephone_number": "718-725-8900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Surgical Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perfect Steps Care Center, Inc.
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• Performa Tech Inc
• Performance Edge Chiropractic, P.C.
• James R Peri, M.D.
• Angela Perich, LCSW
• Natali Perilo, BCBA, LBA-NY
• Leah Kerri Perine, LPN
• Lekshmi Peringassery Sateesh, MD

• Ambulatory Surgical Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.