Empire Center for Special Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EMPIRE CENTER FOR SPECIAL SURGERY, LLC

Practice address

4855 Hylan Blvd
Staten Island, NY 10312-6319

Phone

(718) 804-5422

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jason D KofinasNPI 1902030422

Title

Board Chair

Phone

(718) 682-8180

Specialties & licenses 1

Addresses

Other names 1

• Empire Center for Special Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Ambulatory surgical center certification: CCN 33C0001230

Legal name

Empire CSS, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 10, 2025

Last certification

Sep 10, 2025

Facility address

4855 Hylan BLVD,
Staten Island, NY 10312

Practitioners 1

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

• Jason D Kofinas, M.D.

  • Reproductive Endocrinology Physician
  • New York, NY
  • NPI 1902030422
  NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1861270076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062516",
            "telephone_number": "718-682-8180",
            "fax_number": "718-682-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126319",
            "telephone_number": "718-804-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE CENTER FOR SPECIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "KOFINAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "718-682-8180",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Center for Special Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empire Center for Special Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis M Emmer, M.D.
• Emmoji Corp
• Emnico RX Inc
• Michelle Ijeoma Emode, LMHC
• Empire Ambulatory Endoscopy Center
• Empire Vision Care LLC
• Empire Vision Center, Inc.
• Empire Vision Center, Inc.
• Ellis Enabosi, M.D.
• Encouragement Thru Engagement Mental Health Counseling, PLLC

• Ambulatory Surgical Clinic/Center in Staten Island, NY
• Providers in Staten Island, 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 Jan 9, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.