Organization Active NPI

Park Avenue Ambulatory Center LLC

Doing business as NYC Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1700486511
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PARK AVENUE AMBULATORY CENTER LLC
Doing business as
NYC Ambulatory Surgery Center
Practice address
737 Park Ave FRNT 1B
New York, NY 10021-4248
Phone
(212) 433-0737
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Shanalee Ackerman
Title
Facility Director
Phone
(212) 433-0737

Specialties & licenses 1

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

Addresses

Primary practice location

737 Park Ave FRNT 1B
New York, NY 10021-4248

Mailing address

1775 York Ave Apt 32a
New York, NY 10128-6921
Phone (425) 503-1607

Other names 1

  • NYC Ambulatory Surgery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.parkavesurgerycenter.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1700486511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 YORK AVE APT 32A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286921",
            "telephone_number": "425-503-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 PARK AVE FRNT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214248",
            "telephone_number": "212-433-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE AMBULATORY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "SHANALEE",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "212-433-0737"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.parkavesurgerycenter.com",
            "affiliation": "N",
            "endpointDescription": "Domain",
            "address_1": "737 Park Ave Frnt 1B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NYC Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 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.