NPIMap

Organization Active NPI

Uptown Healthcare Management, Inc.

Doing business as Ambulatory Surgery Center of East Tremont Medical Center

  • Ambulatory Surgical Clinic/Center
  • Bronx, NY
National Provider Identifier
1669644837
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UPTOWN HEALTHCARE MANAGEMENT, INC.
Doing business as
Ambulatory Surgery Center of East Tremont Medical Center
Practice address
930 E Tremont Ave
Bronx, NY 10460-4304
Phone
(718) 764-1633
Fax
(646) 224-1320
NPI assigned
Mar 28, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST TREMONT MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Hisham Ahmed
Title
Director of Administration
Phone
(718) 764-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

930 E Tremont Ave
Bronx, NY 10460-4304

Mailing address

930 E Tremont Ave
Bronx, NY 10460-4304
Phone (718) 764-1633

Other identifiers 1

IdentifierTypeStateIssuer
01672999MedicaidNY

Other names 1

  • Ambulatory Surgery Center of East Tremont Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806001063 NY Part B Supplier - Ambulatory Surgical Center 4082506969 Receives reassigned benefits from 15 practitioners
Practice locations: Bronx, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Uptown Healthcare Management IncCCN 33C0001076
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Uptown Healthcare Management Inc12 organizations share this tax ID, including this one
Part of
Uptown Healthcare Management Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1669644837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604304",
            "telephone_number": "718-764-1633",
            "fax_number": "646-224-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604304",
            "telephone_number": "718-764-1633",
            "fax_number": "646-224-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN HEALTHCARE MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST TREMONT MEDICAL CENTER",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "718-764-1661"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Surgery Center of East Tremont Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.