Active NPI
Fairview Uro Center LLC
- Ambulatory Surgical Clinic/Center
- White Plains, MD
National Provider Identifier
1790978112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- FAIRVIEW URO CENTER LLC
- Practice address
- 4225 Altamont PL
Suite a&B
White Plains, MD 20695-3063 - Phone
- (301) 843-2755
- Fax
- (301) 843-2215
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Josephine M Crisostomo
- Title
- Business Manager
- Phone
- (301) 645-7735
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4225 Altamont PL
Suite a&B
White Plains, MD 20695-3063
Mailing address
4225 Altamont PL
Suite a&B
White Plains, MD 20695-3063
Phone (301) 843-2755
National Provider Directory
National Provider DirectoryLocations
4225 Altamont Pl
Ste Ab
White Plains, MD 20695
Phone (301) 843-2755
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Clinton, MD
- NPI 1508817412
-
- Urology Physician
- Brandywine, MD
- NPI 1982661211
-
- Urology Physician
- Lebanon, PA
- NPI 1528026986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1790978112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 ALTAMONT PL",
"address_2": "SUITE A&B",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953063",
"telephone_number": "301-843-2755",
"fax_number": "301-843-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 ALTAMONT PL",
"address_2": "SUITE A&B",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953063",
"telephone_number": "301-843-2755",
"fax_number": "301-843-2215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVIEW URO CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "CRISOSTOMO",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "301-645-7735",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.