Active NPI
Hudson Yards Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1376054007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HUDSON YARDS SURGERY CENTER, LLC
- Practice address
- 450 West 31St Street, 2S
New York, NY 10001 - Phone
- (212) 604-9800
- Fax
- (212) 242-4757
- NPI assigned
- Oct 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John J Khadem, MD
- Title
- Owner
- Phone
- (212) 604-9800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
450 West 31St Street, 2S
New York, NY 10001
Mailing address
20 W 13TH St
New York, NY 10011-7995
Phone (212) 604-9800
Other names 2
- Hudson Specialty Surgery Center
- USSC, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Hudson Yards Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2169464 | Hudson Yards Surgery Center LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
20 W 13th St
New York, NY 10011
Phone (212) 604-9800
450 W 31st St
#2S
New York, NY 10001
Phone (212) 604-9800
450 W 31st St
Ste 2S
New York, NY 10001
Phone (212) 604-9800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- New York, NY
- NPI 1649492950
-
- Anesthesiology Physician
- New York, NY
- NPI 1740262609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1376054007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W 13TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117995",
"telephone_number": "212-604-9800",
"fax_number": "212-242-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WEST 31ST STREET, 2S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "212-604-9800",
"fax_number": "212-242-4757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON YARDS SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-20",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A",
"authorized_official_last_name": "KHADEM",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-604-9800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hudson Specialty Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "USSC, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.