CSR Outpatient Medical Services, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CSR OUTPATIENT MEDICAL SERVICES, LLC

Practice address

585 Broadway
Massapequa, NY 11758-5023

Phone

(516) 797-1234

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stanley A Fox, M.D.

Title

Director

Phone

(516) 797-2146

Specialties & licenses 1

Addresses

Tax ID family

CSR Outpatient Medical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CSR Outpatient Medical Services, LLC

  • Ambulatory Surgical Clinic/Center
  • Massapequa, NY
  • NPI 1093149650
  NPD tax ID

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1871824474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585023",
            "telephone_number": "516-797-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585023",
            "telephone_number": "516-797-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSR OUTPATIENT MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-797-2146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Crespo
• Evan Cressman, PA
• Robert Anthony Crimi, D.C.
• CS Medical Associates, P.C.
• CSR Outpatient Medical Services, LLC
• Gladys L Cudjoe, LCSW, MASTER-CASAC
• Joan Gavitt Cumisky
• Maria Cusumano
• Valerie Cusumano
• Dorothy Marie Cutolo, DDS

• Ambulatory Surgical Clinic/Center in Massapequa, NY
• Providers in Massapequa, 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 Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.