Ica Surgery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ICA SURGERY, LLC

Practice address

36 7TH Ave
Suite 402
New York, NY 10011-6609

Phone

(212) 647-0404

Fax

(212) 647-0499

NPI assigned

Jun 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph S Raccuia

Title

President

Phone

(212) 647-0404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669675732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70A GREENWICH AVENUE",
            "address_2": "SUITE 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-647-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 7TH AVE",
            "address_2": "SUITE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116609",
            "telephone_number": "212-647-0404",
            "fax_number": "212-647-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICA SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RACCUIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-647-0404"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruann Ibrahim
• Sarah Joseph Georgy Amin Ibrahim, MD
• Uroosa Ibrahim, M.B.,B.S.
• Ali Naki Ibrahimiye, M.D.
• Komilakhon Ibrokhimova
• Icahn School of Medicine at Mount Sinai (Dermatology Department of Mount Sinai BISLR)
• Icahn School of Medicine at Mount Sinai (Mount Sinai Solutions Behavioral Health)
• Icahn School of Medicine at Mount Sinai (Liver Division of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Psychiatry Department of Mount Sinai)
• Icahn School of Medicine at Mount Sinai (Rheumatology Division of Mount Sinai)

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• 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.