Organization Active NPI

New York Center for Ambulatory Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1467933002
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEW YORK CENTER FOR AMBULATORY SURGERY LLC
Practice address
1210 2ND Ave
New York, NY 10065-7403
Phone
(646) 928-5900
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Ashley Poulos
Title
Office Manager
Phone
(646) 928-5900

Specialties & licenses 1

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

Addresses

Primary practice location

1210 2ND Ave
New York, NY 10065-7403

Mailing address

1210 2ND Ave
New York, NY 10065-7403
Phone (646) 928-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226002660 NY Part B Supplier - Ambulatory Surgical Center 8729415039 Practice locations: New York, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
New York Center for Ambulatory SurgeryCCN 33C0001190
Medicare certification status
ActiveFrom the Provider of Services file

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
33D2154786New York Center for Ambulatory Surgery LLC1210 2ND Ave, New York, NY 10065Provider-performed microscopyMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1210 2nd Ave
New York, NY 10065
Phone (212) 751-2100

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": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1467933002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657403",
            "telephone_number": "646-928-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657403",
            "telephone_number": "646-928-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CENTER FOR AMBULATORY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-928-5900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.