Greenwich Village Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GREENWICH VILLAGE AMBULATORY SURGERY CENTER, LLC

Practice address

200 W 13TH St
New York, NY 10011-7702

Phone

(929) 292-3700

Fax

(646) 465-3203

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Susan Fitzpatrick, RN

Title

Director

Phone

(516) 823-8816

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 33C0001171

Legal name

GREENWICH VILLAGE AMBULATORY SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 30, 2018

Last certification

Jan 30, 2018

Ownership / control type

Non-Profit

Facility address

200 West 13TH Street
New York, NY 10011

Locations

Practitioners 1

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

• Nicholas A Sgaglione, MD

  • Orthopaedic Surgery Physician
  • Great Neck, NY
  • NPI 1639126345
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396265377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117702",
            "telephone_number": "929-292-3700",
            "fax_number": "646-465-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117702",
            "telephone_number": "929-292-3700",
            "fax_number": "646-465-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH VILLAGE AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-823-8816",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396265377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenwich OB/GYN Medical P.C.
• Greenwich Psychology PLLC
• Greenwich Street Medical Aesthetics, PLLC
• Greenwich Street Medical P.C.
• Greenwich Street Medical Services of New York PC
• Greenwich Village Dental Arts PC
• Greenwich Village GYN, P.C.
• Greenwich Village Medical Group, PC
• James Douglas Greenwood, MD
• Jessica Todd Greenwood, M.S. SLP

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.