Foxhall Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

5501211R Issued in NY

Legal business name

FOXHALL AMBULATORY SURGERY CENTER

Practice address

741 Grant Ave
Lake Katrine, NY 12449-5350

Phone

(845) 943-6039

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Donald J Policastro

Title

Administrator

Phone

(845) 616-9003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1467762872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 GRANT AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495350",
            "telephone_number": "845-943-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 GRANT AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495350",
            "telephone_number": "845-943-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOXHALL AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "POLICASTRO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-616-9003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "5501211R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03106536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard Dohrenwend, LCSW
• Barbara N Elkins, ANP
• Jane H Ferguson, MD
• Kevin P. Flanagan, CCC-SLP
• Colleen Elizabeth Fortine, LPN
• Makayla Fryling
• Calla Goudreau
• Linda Gurgui
• Richard Gurgui
• Sarah Renee Hardy, OTR/L

• Ambulatory Surgical Clinic/Center in Lake Katrine, NY
• Providers in Lake Katrine, 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 Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.