Organization Active NPI

Surgery of Tomorrow, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1376914796
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
202259 Issued in NY
Legal business name
SURGERY OF TOMORROW, LLC
Practice address
1766 E 12TH St
Suite B
Brooklyn, NY 11229-1014
Phone
(718) 743-0505
Fax
(718) 339-0760
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Mr. Benjamin Shifrin
Title
Administrator
Phone
(718) 375-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 202259 NY Primary

Addresses

Primary practice location

1766 E 12TH St
Suite B
Brooklyn, NY 11229-1014

Mailing address

1766 E 12TH St
Brooklyn, NY 11229-1014
Phone (718) 375-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160729000426 NY Part B Supplier - Ambulatory Surgical Center 5294028130 Practice locations: Brooklyn, NY

Ambulatory surgical center certification: CCN 33C0001174

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SURGERY OF TOMORROW
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 1, 2017
Last certification
Jan 1, 2017
Ownership / control type
Proprietary
Facility address
1766 East 12TH Street
Brooklyn, NY 11229

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2102786Surgery of Tomorrow LLC1766 E 12TH St - Suite B, Brooklyn, NY 11229Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1766 E 12th St
Ste B
Brooklyn, NY 11229
Phone (718) 743-0505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1376914796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291014",
            "telephone_number": "718-375-2200",
            "fax_number": "718-375-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 E 12TH ST",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291014",
            "telephone_number": "718-743-0505",
            "fax_number": "718-339-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY OF TOMORROW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SHIFRIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-375-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "202259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.