Brook Plaza Ambulatory Surgical Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7001263R Issued in NY

Legal business name

BROOK PLAZA AMBULATORY SURGICAL CENTER, INC.

Practice address

5000 Avenue K
Brooklyn, NY 11234

Phone

(718) 968-1515

Fax

(718) 209-2295

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Scott Marmor

Title

Administrator Chief Operating Offic

Phone

(718) 629-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Brook Plaza Ambulatory Surgical CenterCCN 33C0001016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Jacob L Ackerman, MD

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1710083050
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1427116367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 UTICA AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-629-5590",
            "fax_number": "718-629-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-968-1515",
            "fax_number": "718-209-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK PLAZA AMBULATORY SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MARMOR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR CHIEF OPERATING OFFIC",
        "authorized_official_telephone_number": "718-629-5590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7001263R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01178192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronx Center for Renal Dialysis LLC
• Bronx Chiropractic Associates, PC
• Bronx Chiropractic Services, P.C.
• Alexander Bronzo
• Brook Orthopedic Associates P C
• Brook Plaza Opthalmology Assoc PC
• Brook- Island Medical Associates, PC
• Jena Melissa Brook
• Sarah Brook, LMSW
• Brookdale Family Care Center, Inc.

• Ambulatory Surgical Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 16, 2009; 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.