NPIMap

Organization Active NPI

Center for Ambulatory Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • West Seneca, NY
National Provider Identifier
1720041536
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1474201R Issued in NY
Legal business name
CENTER FOR AMBULATORY SURGERY LLC
Practice address
550 Orchard Park Rd
Suite B101
West Seneca, NY 14224-2646
Phone
(716) 677-4161
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Michael Grant, M.D.
Title
President
Phone
(716) 677-6407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1474201R NY Primary

Addresses

Primary practice location

550 Orchard Park Rd
Suite B101
West Seneca, NY 14224-2646

Mailing address

950A Union Rd
Suite 424
West Seneca, NY 14224-3465
Phone (716) 677-4400

Other identifiers 1

IdentifierTypeStateIssuer
2183273MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000514 NY Part B Supplier - Ambulatory Surgical Center 1153466859 Receives reassigned benefits from 8 practitioners
Practice locations: West Seneca, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Center for Ambulatory Surgery LLCCCN 33C0001056
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
33D0995887Center for Ambulatory Surgery LLC550 Orchard Park Road - Suite B101, West Seneca, NY 14224Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1720041536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950A UNION RD",
            "address_2": "SUITE 424",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243465",
            "telephone_number": "716-677-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "SUITE B101",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-677-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AMBULATORY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-677-6407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "1474201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2183273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.