NPIMap

Organization Active NPI

Goldstep Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1689059222
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7001800R Issued in NY
Legal business name
GOLDSTEP AMBULATORY SURGERY CENTER, LLC
Practice address
3007 Farragut Rd FL 5
Brooklyn, NY 11210-1537
Phone
(718) 253-1582
Fax
(718) 434-0722
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Ms. Anna Goldin
Title
Administrator
Phone
(718) 253-1582

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X
Ambulatory Surgical Clinic/Center 261QA1903X 7001800R NY Primary

Addresses

Primary practice location

3007 Farragut Rd FL 5
Brooklyn, NY 11210-1537

Mailing address

3007 Farragut Rd FL 5
Brooklyn, NY 11210-1537
Phone (718) 253-1582

Other identifiers 1

IdentifierTypeStateIssuer
04275325MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151103002303 NY Part B Supplier - Ambulatory Surgical Center 8022328020 Receives reassigned benefits from 71 practitioners
Practice locations: Brooklyn, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Goldstep Ambulatory Surgery Center LLCCCN 33C0001157
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2085931Goldstep Ambulatory Surgery Center LLC3007 Farragut Rd - 4TH Floor, Brooklyn, NY 11210Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3007 Farragut Rd
Fl 5
Brooklyn, NY 11210
Phone (347) 915-1150

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1689059222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 FARRAGUT RD FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101537",
            "telephone_number": "718-253-1582",
            "fax_number": "718-434-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 FARRAGUT RD FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101537",
            "telephone_number": "718-253-1582",
            "fax_number": "718-434-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTEP AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-253-1582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7001800R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04275325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2016; 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.