Organization Active NPI

Ambulatory Surgery Center of Brooklyn, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1609873116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7001244R Issued in NY
Legal business name
AMBULATORY SURGERY CENTER OF BROOKLYN, LLC
Practice address
313 43Rd St
Brooklyn, NY 11232-3609
Phone
(718) 369-1900
Fax
(718) 965-4157
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Francis Xavier Monck
Title
Administrator
Phone
(718) 369-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7001244R NY Primary

Addresses

Primary practice location

313 43Rd St
Brooklyn, NY 11232-3609

Mailing address

313 43Rd St
Brooklyn, NY 11232-3609
Phone (718) 369-1900

Other identifiers 1

IdentifierTypeStateIssuer
00357575MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609873116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323609",
            "telephone_number": "718-369-1900",
            "fax_number": "718-965-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323609",
            "telephone_number": "718-369-1900",
            "fax_number": "718-965-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER OF BROOKLYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONCK",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-369-2140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7001244R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.