Organization Active NPI

21 Reade Place ASC LLC

  • Endoscopy Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1902215148
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
21 READE PLACE ASC LLC
Practice address
21 Reade PL
Suite 3300
Poughkeepsie, NY 12601-3912
Phone
(845) 454-0222
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. Sunil K Khurana, M.D.NPI 1720082407
Title
Member
Phone
(845) 451-7217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X NU Primary

Addresses

Primary practice location

21 Reade PL
Suite 3300
Poughkeepsie, NY 12601-3912

Mailing address

21 Reade PL
Suite 3300
Poughkeepsie, NY 12601-3912
Phone (845) 454-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150305002120 NY Part B Supplier - Ambulatory Surgical Center 1951627157 Practice locations: Poughkeepsie, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
21 Reade Place ASC LLCCCN 33C0001150
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
33D207362821 Reade Place ASC LLC Dba Bridgeview21 Reade Place - Suite 3300, Poughkeepsie, NY 12601Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

21 Reade Pl
Ste 3300
Poughkeepsie, NY 12601
Phone (845) 454-0222

Practitioners & affiliated clinicians

Practitioners 11

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1902215148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 READE PL",
            "address_2": "SUITE 3300",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013912",
            "telephone_number": "845-454-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 READE PL",
            "address_2": "SUITE 3300",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013912",
            "telephone_number": "845-454-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21 READE PLACE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-451-7217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.