Organization Active NPI

Scob, LLC

Doing business as Surgicare of Brooklyn

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1639689250
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.