Organization Active NPI

Central Park East Office Based Surgery, P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1689828790
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL PARK EAST OFFICE BASED SURGERY, P.C.
Practice address
853 5TH Ave
New York, NY 10065-5802
Phone
(212) 772-3220
Fax
(212) 772-3442
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Dr. Mauro C. Romita, M.D.
Title
Officer
Phone
(212) 772-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

853 5TH Ave
New York, NY 10065-5802

Mailing address

853 5TH Ave
New York, NY 10065-5802
Phone (212) 772-3220

Other identifiers 1

IdentifierTypeStateIssuer
2419OtherNYAAAASF

National Provider Directory

National Provider Directory

Locations

853 5th Ave
New York, NY 10065
Phone (212) 396-3688

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1689828790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655802",
            "telephone_number": "212-772-3220",
            "fax_number": "212-772-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655802",
            "telephone_number": "212-772-3220",
            "fax_number": "212-772-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK EAST OFFICE BASED SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "ROMITA",
        "authorized_official_first_name": "MAURO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "212-772-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF",
            "identifier": "2419",
            "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 Nov 10, 2009; 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.