Organization Active NPI

New York Surgery Center Queens, LLC

  • Ambulatory Surgical Clinic/Center
  • Astoria, NY
National Provider Identifier
1275890881
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7003273R Issued in NY
Legal business name
NEW YORK SURGERY CENTER QUEENS, LLC
Practice address
4604 31St Ave
Astoria, NY 11103-1842
Phone
(718) 545-5050
Fax
(718) 545-5052
NPI assigned
Apr 19, 2012
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. Dror Rosenfeld, M.D
Title
Administrator
Phone
(718) 545-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7003273R NY Primary

Addresses

Primary practice location

4604 31St Ave
Astoria, NY 11103-1842

Mailing address

4604 31St Ave
Astoria, NY 11103-1842
Phone (718) 545-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121114000007 NY Part B Supplier - Ambulatory Surgical Center 9739330093 Receives reassigned benefits from 7 practitioners
Practice locations: Long Island City, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
New York Surgery Center Queens LLCCCN 33C0001130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1275890881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-545-5050",
            "fax_number": "718-545-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031842",
            "telephone_number": "718-545-5050",
            "fax_number": "718-545-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK SURGERY CENTER QUEENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "DROR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-545-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7003273R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.