Sheepshead Bay Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7001288R Issued in NY

Legal business name

SHEEPSHEAD BAY SURGERY CENTER, INC.

Practice address

2269 Ocean Ave
Brooklyn, NY 11229-3103

Phone

(718) 787-0387

Fax

(718) 787-0388

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Silberman

Title

Medical Director Vice President

Phone

(718) 787-0387

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheepshead Bay Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Sheepshead Bay Surgery CenterCCN 33C0001041

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Keith C Chang, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1588703995
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1710979109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293103",
            "telephone_number": "718-787-0387",
            "fax_number": "718-787-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293103",
            "telephone_number": "718-787-0387",
            "fax_number": "718-787-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPSHEAD BAY SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "SILBERMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR VICE PRESIDENT",
        "authorized_official_telephone_number": "718-787-0387",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7001288R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01972852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheepshead Bay Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheepshead Bay Endoscopy LLC
• Sheepshead Bay Medical Associates, PC
• Sheepshead Bay Oral Surgery
• Sheepshead Bay Oral Surgery, PLLC
• Sheepshead Bay Pharmacy, Inc.
• Sheepshead Bay Vision Center LLC
• Sheepshead Bay Women CC
• Sheepshead Nursing and Rehabilitation Center LLC
• Sheepshead Social Adult Day Care Center, LLC
• Shameera Sheeraz

• Ambulatory Surgical Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.