Organization Active NPI

New York Institute of Same Day Surgery

  • Specialist
  • Orangeburg, NY
National Provider Identifier
1508920521
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
215965-1 Issued in NY
Legal business name
NEW YORK INSTITUTE OF SAME DAY SURGERY
Practice address
99 Dutch Hill Rd
Orangeburg, NY 10962-2106
Phone
(845) 359-9000
Fax
(845) 359-0729
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ayman Z. Matta
Title
Delegated Official
Phone
(845) 359-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 215965-1 NY Primary

Addresses

Primary practice location

99 Dutch Hill Rd
Orangeburg, NY 10962-2106

Mailing address

99 Dutch Hill Rd
Orangeburg, NY 10962-2106
Phone (845) 359-9000

Other identifiers 6

IdentifierTypeStateIssuer
IC0716OtherNYHEALTHNET #
0051708OtherNYAETNA HMO#
A448704OtherNYOXFORD#
003621OtherNYEMPIRE BCBS#
01241923MedicaidNY
8457010OtherNYAETNA PPO#

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508920521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622106",
            "telephone_number": "845-359-9000",
            "fax_number": "845-359-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622106",
            "telephone_number": "845-359-9000",
            "fax_number": "845-359-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK INSTITUTE OF SAME DAY SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "845-359-9000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "215965-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET #",
            "identifier": "IC0716",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO#",
            "identifier": "0051708",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD#",
            "identifier": "A448704",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS#",
            "identifier": "003621",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01241923",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO#",
            "identifier": "8457010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.