Organization Active NPI

Regency Surgical, PLLC

  • Specialist
  • New York, NY
National Provider Identifier
1659666386
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AAAASF CERT# 1822 Issued in NY
Legal business name
REGENCY SURGICAL, PLLC
Practice address
60 E 88TH St
New York, NY 10128-1170
Phone
(212) 876-7000
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Robert Haar, MD
Title
Medical Director
Phone
(212) 876-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AAAASF CERT# 1822 NY Primary

Addresses

Primary practice location

60 E 88TH St
New York, NY 10128-1170

Mailing address

60 E 88TH St
New York, NY 10128-1170
Phone (212) 876-7000

Other identifiers 1

IdentifierTypeStateIssuer
1822OtherNYAAAASF, INC.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1659666386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281170",
            "telephone_number": "212-876-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281170",
            "telephone_number": "212-876-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "HAAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-876-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "AAAASF CERT# 1822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF, INC.",
            "identifier": "1822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.