Organization Active NPI

Mt Kisco Surgery Center LLC

Doing business as The Ambulatory Surgery Center of Westchester

  • Ambulatory Surgical Clinic/Center
  • Mount Kisco, NY
National Provider Identifier
1831274208
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
5946202R Issued in NY
Legal business name
MT KISCO SURGERY CENTER LLC
Doing business as
The Ambulatory Surgery Center of Westchester
Practice address
34 South Bedford Road
Mt Kisco, NY 10549
Phone
(914) 244-6789
Fax
(914) 244-6766
NPI assigned
Oct 26, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mrs. Donna Moccio, RN CASC
Title
Administrator
Phone
(914) 244-6785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 5946202R NY Primary

Addresses

Primary practice location

34 South Bedford Road
Mt Kisco, NY 10549

Mailing address

34 South Bedford Road
Mt Kisco, NY 10549
Phone (914) 244-6789

Other names 1

  • The Ambulatory Surgery Center of Westchester Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000064 NY Part B Supplier - Ambulatory Surgical Center 5890954028 Practice locations: Mount Kisco, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Ambulatory Surgery Center of WestchesterCCN 33C0001062
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
33D0995888Ambulatory Surgery Center of Westchester34 South Bedford Road, Mount Kisco, NY 10549Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 2

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

Locations

34 S Bedford Rd
Ste 200
Mount Kisco, NY 10549

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1831274208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SOUTH BEDFORD ROAD",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-244-6789",
            "fax_number": "914-244-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SOUTH BEDFORD ROAD",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-244-6789",
            "fax_number": "914-244-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT KISCO SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MOCCIO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "914-244-6785",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "5946202R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ambulatory Surgery Center of Westchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.