Active NPI
Scob, LLC
Doing business as Surgicare of Brooklyn
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
National Provider Identifier
1639689250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SCOB, LLC
- Doing business as
- Surgicare of Brooklyn
- Practice address
- 313 43Rd St
Brooklyn, NY 11232-3609 - Phone
- (718) 369-4800
- NPI assigned
- Oct 10, 2017
- Last updated
- Jun 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sona Gardella
- Title
- Director of Operations
- Phone
- (201) 549-9998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
313 43Rd St
Brooklyn, NY 11232-3609
Mailing address
190 Midland Ave FL 2
Saddle Brook, NJ 07663-6408
Phone (201) 549-9998
Other names 1
- Surgicare of Brooklyn
National Provider Directory
National Provider DirectoryLocations
190 Midland Ave
Fl 2
Saddle Brook, NJ 07663
Phone (973) 928-4330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1639689250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 MIDLAND AVE FL 2",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076636408",
"telephone_number": "201-549-9998",
"fax_number": "646-585-4251"
},
{
"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": "718-369-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-10",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "GARDELLA",
"authorized_official_first_name": "SONA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "201-549-9998"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgicare of Brooklyn",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.