Roosevelt Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ROOSEVELT SURGERY CENTER, LLC

Practice address

619 W 54TH St
Suite 602
New York, NY 10019-3545

Phone

(212) 231-7778

Fax

(212) 581-1987

NPI assigned

Feb 29, 2012

Last updated

Feb 19, 2020By 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

Dr. Jacqueline Jones, M.D.NPI 1073602215

Title

President

Phone

(212) 996-2559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Roosevelt Surgery Center LLC Dba Manhattan Surgery CenterCCN 33C0001133

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Jacqueline Eleanor Jones, MD

  • Pediatric Otolaryngology Physician
  • New York, NY
  • NPI 1073602215
  Authorized official Same address or phone
• Andrew Schwartz, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1295787000
  NPD
• Paul Tartter, MD

  • Surgery Physician
  • New York, NY
  • NPI 1346229366
  NPD (past)
• Asher C. Goldstein, MD.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hackensack, NJ
  • NPI 1790725661
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1598039125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W 54TH ST",
            "address_2": "SUITE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193545",
            "telephone_number": "212-231-7778",
            "fax_number": "212-581-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W 54TH ST",
            "address_2": "SUITE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193545",
            "telephone_number": "212-231-7778",
            "fax_number": "212-581-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-996-2559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Roop, L.C.S.W.
• Amanda Roopa, MSW
• Laura Roos, D.C.
• Steven Paul Roose, MD
• Roosevelt Island Urgent Care PLLC
• James Charles Root, PH.D.
• Kerry Ann Root
• Naomi D Root, LCSW
• Rooted Mental Health Counseling PLLC
• Rooted Psychotherapy, Mental Health Counseling PLLC

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, 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 Feb 19, 2020; 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.