Bronx SC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7000284R Issued in NY

Legal business name

BRONX SC LLC

Doing business as

Empire State Ambulatory Surgery Center

Practice address

3170 Webster Ave
Bronx, NY 10467-4902

Phone

(718) 708-5777

Fax

(718) 708-4963

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Arnold Wilson, M.D.

Title

President

Phone

(914) 907-2225

Specialties & licenses 1

Addresses

Other names 1

• Empire State Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Bronx SC LLC Dba Empire State Ambulatory Surgery CenterCCN 33C0001148

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• New York Eye & Ear Infirmary

  • Special Hospital
  • New York City, NY
  • NPI 1245251222

  Member Of

  NPD member

Locations

Practitioners 1

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

• Andrew Naing, M.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1609968833
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1720407273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674902",
            "telephone_number": "718-708-5777",
            "fax_number": "718-708-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674902",
            "telephone_number": "718-708-5777",
            "fax_number": "718-708-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-907-2225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7000284R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire State Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bronx Renal Services LLC
• Bronx River Dental P.C.
• Bronx River Medical Associates,PC
• Bronx River Nephro-Care Inc.
• Bronx River Nephro-Care Inc.
• Bronx Specialty Pharmacy Inc
• Bronx State Hospital (Brooklyn Children Center)
• Bronx Urgent Care, P.C.
• Bronx Vamc
• Bronx Vamc

• Ambulatory Surgical Clinic/Center in Bronx, NY
• Providers in Bronx, 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 May 15, 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.