Union Square Surgical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

UNION SQUARE SURGICAL PC

Practice address

55 W 17TH St
New York, NY 10011-5513

Phone

(212) 427-8761

Fax

(212) 427-8762

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Angela Laza

Title

Billing Manager

Phone

(646) 829-1392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1316503600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 27TH ST STE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016207",
            "telephone_number": "212-427-8761",
            "fax_number": "212-427-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115513",
            "telephone_number": "212-427-8761",
            "fax_number": "212-427-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE SURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "LAZA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "646-829-1392"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Square Physical Therapy & Chiroprctic
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• Union Square Radiology P.C.
• Union Square Rehabilitation and Sports Medicine
• Union Square Smiles
• Union Square Therapy Group LLC
• Union Square Urgent Medical Care PC
• Union Square Vision Corp (Cohen's Fashion Optical)
• Union Square Vision Express LLC (Cohen's Fashion Optical)
• Unionsettlement

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.