Crotona Parkway ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CROTONA PARKWAY ASC, LLC

Practice address

1976 Crotona Pkwy # 2a
Bronx, NY 10460-1526

Phone

(203) 917-0793

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Valentyna Mino, RN

Title

Administrator

Phone

(203) 917-0793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Ambulatory surgical center certification: CCN 33C0001217

Legal name

Crotona Parkway ASC, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 12, 2023

Last certification

Jun 22, 2023

Ownership / control type

Proprietary

Facility address

1976 Crotona Parkway #2A
Brooklyn, NY 10460

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Leonid Reyfman, MD

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1659440394
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1922754605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 CROTONA PKWY # 2A3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601526",
            "telephone_number": "718-307-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 CROTONA PKWY # 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601526",
            "telephone_number": "203-917-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROTONA PARKWAY ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "MINO",
        "authorized_official_first_name": "VALENTYNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-917-0793",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Cross, LCSW
• Elizabeth Wassel Cross, OTR
• Jessica Cross, RD
• Jennifer Pearl Crossdale, LCSW
• Crotona Park Pharmacy Inc
• Crotona Pharmacy Corp
• Sabrina Nichole Crouch, PSY.D.
• Donna Crowe, LMSW
• Margaret Crowell, OTR/L
• Crown Dental, PLLC

• Ambulatory Surgical Clinic/Center in Bronx, NY
• Providers in Bronx, 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 Feb 2, 2023; 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.