Manhattan Reproductive Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

CORPORATION Issued in NY

Legal business name

MANHATTAN REPRODUCTIVE SURGERY CENTER, LLC

Practice address

65 Broadway FL 21
New York, NY 10006-2503

Phone

(212) 807-7000

Fax

(212) 433-2578

NPI assigned

Apr 25, 2018

Last updated

Apr 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Dimitrios Kofinas, M.D.

Title

Medical Director

Phone

(201) 819-2333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841788809. Details of each certification follow.

• CCN 33C0001191 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 33C0001191

Legal name

MANHATTAN REPRODUCTIVE SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 4, 2020

Last certification

Nov 4, 2020

Ownership / control type

Proprietary

Facility address

65 Broadway, 21St Floor
New York, NY 10006

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Taylor Marie Russo I, MSPAS, PA-C

  • Medical Physician Assistant
  • New York, NY
  • NPI 1265206916
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1841788809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062503",
            "telephone_number": "212-807-7000",
            "fax_number": "212-433-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062503",
            "telephone_number": "212-807-7000",
            "fax_number": "212-433-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN REPRODUCTIVE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "KOFINAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DIMITRIOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-819-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "CORPORATION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manhattan Rehabilitation Management LLC
• Manhattan Rehabilitation Services
• Manhattan Relationship Counseling and Psychotherapy
• Manhattan Renal Associate, P.C.
• Manhattan Reproductive Medicine
• Manhattan Sleep Medicine and Neurology Consultant, PC (connecticut sleep medicine, PC)
• Manhattan Specialty Pharmacy RX LLC
• Manhattan Specialty RX Inc. (Manhattan Specialty Pharmacy)
• Manhattan Speech Works
• Manhattan Spine & Pain Medicine , P. C.

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, 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 Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.