Centre Street Office-Based Surgery, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CENTRE STREET OFFICE-BASED SURGERY, PLLC

Practice address

139 Centre St
Suite 609
New York, NY 10013-4408

Phone

(917) 541-3225

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Anthony J NG, MDNPI 1649202367

Title

Member

Phone

(917) 541-3225

Specialties & licenses 1

Addresses

Other names 1

• 139 Centre Street Office-Based Surgery, PLLC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Anthony J NG, MD

  • Gastroenterology Physician
  • New York, NY
  • NPI 1649202367
  Medicare reassignment NPD Authorized official
• John D. Lory, M.D.

  • Anesthesiology Physician
  • New Rochelle, NY
  • NPI 1750365110
  Medicare reassignment NPD
• Poline Yiu, RPA-C

  • Medical Physician Assistant
  • New York, NY
  • NPI 1780758045
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1710291463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 609",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 609",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134408",
            "telephone_number": "917-541-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE STREET OFFICE-BASED SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-541-3225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "139 Centre Street Office-Based Surgery, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Central Park West Physical Therapy PC
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• Central Park Women Imaging
• Central Park Women's Health Medical PLLC
• Central Pharmacy Corp
• Centre Street Pharmaceutical LLC (Buy-Rite Pharmacy V)
• Centre Street Surgery PLLC
• Centro Altagracia de Fe Y Justicia
• Centro Dental Dra. Reyes PLLC
• Centro Social la Esperanza, Inc. (Esperanza Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.