Active NPI
Premier Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Hamburg, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PREMIER AMBULATORY SURGERY CENTER
- Practice address
- 5844 Southwestern Blvd - Suite 700
Hamburg, NY 14075-3685 - Phone
- (716) 348-2759
- Fax
- (716) 646-5502
- NPI assigned
- Feb 1, 2016
- Last updated
- Mar 13, 2018
- 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
- Vishal Sharma, MD
- Title
- Owner
- Phone
- (716) 348-2759
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5844 Southwestern Blvd - Suite 700
Hamburg, NY 14075-3685
Mailing address
5844 Southwestern Blvd - Suite 700
Hamburg, NY 14075-3685
Phone (716) 348-2759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171213003271 | NY | Part B Supplier - Ambulatory Surgical Center | 2264790542 | Practice locations: Hamburg, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Premier Ambulatory Surgery Center
- 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 |
|---|---|---|---|
| 33D2143593 | Premier Ambulatory Surgery Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Irving, NY
- NPI 1851494769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520899200000",
"number": "1437517745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5844 SOUTHWESTERN BLVD - SUITE 700",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140753685",
"telephone_number": "716-348-2759",
"fax_number": "716-646-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5844 SOUTHWESTERN BLVD - SUITE 700",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140753685",
"telephone_number": "716-348-2759",
"fax_number": "716-646-5502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER AMBULATORY SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-01",
"last_updated": "2018-03-13",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "VISHAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-348-2759",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.