Ambulatory Surgery Center of Greater New York, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC

Practice address

1101 Pelham Pkwy N
Bronx, NY 10469-5411

Phone

(718) 515-3500

Fax

(718) 519-1096

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Erin Duffy, R.N.

Title

Administrator

Phone

(718) 515-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Ambulatory Surgery Center of Greater New York LLCCCN 33C0001009

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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

• Damon John Pettinelli, M.D.

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1558477448
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1376641670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695411",
            "telephone_number": "718-515-3500",
            "fax_number": "718-519-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695411",
            "telephone_number": "718-515-3500",
            "fax_number": "718-519-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-515-3500",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490000956",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01088706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Ambrogio, MSED
• Bianka Ambroise
• Devronda Ambrose
• Anastasia Theresa Ambrosio
• John Ambrosio
• Amd Medical Supply LLC
• Shahnawaz Mahmadyunus Amdani, M.D.
• Andrew Amechand
• Ayele Amedee
• Paula L Amendola-Sekinski, DO

• Ambulatory Surgical Clinic/Center in Bronx, NY
• Providers in Bronx, 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 18, 2013; 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.