Progressive Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

5150202R Issued in NY

Legal business name

PROGRESSIVE SURGERY CENTER LLC

Practice address

340 Broadhollow Rd
Farmingdale, NY 11735-4807

Phone

(631) 694-0000

Fax

(631) 694-2470

NPI assigned

Sep 28, 2006

Last updated

May 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kendel D McKenna, MHA

Title

Administrator

Phone

(631) 694-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Progressive Surgery Center LLCCCN 33C0001074

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Integrated Medical Professionals PLLC

  • Durable Medical Equipment & Medical Supplies
  • Centereach, NY
  • NPI 1073379285

  Member Of

  NPD member
• New York Bariatric Surgery Group PLLC

  dba Premier Bariatric Surgery, PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1164898821

  Member Of

  NPD member

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.

• Marc A Schumer, MD

  • Urology Physician
  • Amityville, NY
  • NPI 1407819691
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1477645711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354807",
            "telephone_number": "631-694-0000",
            "fax_number": "631-694-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354807",
            "telephone_number": "631-694-0000",
            "fax_number": "631-694-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "KENDEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-694-0000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "5150202R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02490288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime for Life
• Brenda Prince-Ryan
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Promptcare Medical of Farmingdale PLLC (PromptCareMD)
• Prothotic Laboratory, Inc.
• Joseph Puleio, D.D.S.
• Peter Puleio, D.M.D.
• Henry G Purslow, DPT MFS

• Ambulatory Surgical Clinic/Center in Farmingdale, NY
• Providers in Farmingdale, 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 May 7, 2012; 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.