Organization Active NPI

Hudson Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1740860923
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HUDSON SURGERY CENTER, LLC
Practice address
234 E 23Rd St
New York, NY 10010-4607
Phone
(203) 917-0793
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Miss Valentyna Mino, RN
Title
Administrator
Phone
(203) 917-0793

Specialties & licenses 1

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

Addresses

Primary practice location

234 E 23Rd St
New York, NY 10010-4607

Mailing address

234 E 23Rd St # 1A1B
New York, NY 10010-4607
Phone (212) 951-7020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220506000864 NY Part B Supplier - Ambulatory Surgical Center 3173900404 Practice locations: New York, NY

Ambulatory surgical center certification: CCN 33C0001206

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Hudson Surgery Center, Llc
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 22, 2022
Last certification
Jul 22, 2022
Ownership / control type
Proprietary
Facility address
234 East 23rd Street
New York, NY 10010

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
33D2223238Hudson Surgery Center LLC234 E 23Rd St, New York, NY 10010Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2279 Coney Island Ave
Fl 3
Brooklyn, NY 11223

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1740860923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 23RD ST # 1A1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104607",
            "telephone_number": "212-951-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104607",
            "telephone_number": "203-917-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "MINO",
        "authorized_official_first_name": "VALENTYNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-917-0793",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.