NPIMap

Organization Active NPI

Harlem Road Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Cheektowaga, NY
National Provider Identifier
1588328918
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HARLEM ROAD AMBULATORY SURGERY CENTER LLC
Practice address
3085 Harlem Rd Ste 300
Cheektowaga, NY 14225-2594
Phone
(716) 859-8501
NPI assigned
Oct 22, 2021
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Donald Boyd
Title
Board Chair
Phone
(716) 859-8831

Specialties & licenses 1

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

Addresses

Primary practice location

3085 Harlem Rd Ste 300
Cheektowaga, NY 14225-2594

Mailing address

726 Exchange St Ste 300
Buffalo, NY 14210-1467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000734 NY Part B Supplier - Ambulatory Surgical Center 7810388238 Receives reassigned benefits from 23 practitioners
Practice locations: Cheektowaga, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Harlem Rd Ambulatory Surgery Center LLCCCN 33C0001212
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1588328918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD STE 300",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252594",
            "telephone_number": "716-859-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM ROAD AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "716-859-8831"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.