Rockaways ASC Development, LLC.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ROCKAWAYS ASC DEVELOPMENT, LLC.

Practice address

105-20 Rockaway Beach Blvd
Suite 301
Rockaway Park, NY 11694

Phone

(917) 696-3192

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mark Gelwan, MD

Title

President / Owner

Phone

(917) 696-3192

Specialties & licenses 1

Addresses

Other names 1

• Rockaways Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Ambulatory surgical center certification: CCN 33C0001194

Legal name

ASC OF ROCKAWAY BEACH

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 28, 2020

Last certification

Feb 28, 2020

Ownership / control type

Proprietary

Facility address

105-20 Rockaway Beach Blvd, Suite 301
Rockaway Park, NY 11694

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Anthony T. Pacia, M.D.

  • Anesthesiology Physician
  • East Patchogue, NY
  • NPI 1235230392
  NPD
• Sheldon Bruce Pike, M.D

  • Urology Physician
  • Hewlett, NY
  • NPI 1225050412
  NPD

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1235640855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105-20 ROCKAWAY BEACH BLVD",
            "address_2": "SUITE 301",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105-20 ROCKAWAY BEACH BLVD",
            "address_2": "SUITE 301",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "917-696-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAYS ASC DEVELOPMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "GELWAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "917-696-3192",
        "authorized_official_name_prefix": "Dr.",
        "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": "Rockaways Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rockaway Drugs Inc.
• Rockaway Imaging, P.C.
• Rockaway Park Foot Care PLLC
• Rockaway Park Physical Therapy PLLC
• Rockaway Park Rehab Assoc PT & OT
• David Steven Rogoff, DDS
• Tami Lynn Romano, PHARMD
• Irina Rozman
• Anne-Marie Ruggiero-Miller, MSED
• Gerald Anthony Ruggiero, M.S. RRT

• Ambulatory Surgical Clinic/Center in Rockaway Park, NY
• Providers in Rockaway Park, 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 Oct 23, 2017; 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.
• 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.