Central New York ASC Omni Outpatient Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRAL NEW YORK ASC OMNI OUTPATIENT SURGERY CENTER

Practice address

498 French Rd
Utica, NY 13502-5934

Phone

(315) 765-8448

Fax

(315) 765-8464

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Amy Porter

Title

Operations Director

Phone

(315) 765-8448

Specialties & licenses 1

Addresses

Other names 1

• Omni Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Hospital certification: CCN 330412

Legal name

OMNI SURGERY CENTER

Certification status

Terminated Voluntary: merger or closure, May 12, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 8, 2021

Last certification

Apr 8, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

498 French Road
Utica, NY 13502

Listed as

Central New York ASC Dba Omni Outpatient Surgery CenterCCN 33C0001162

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Debra Jane Dermady-Ray, RN, ANP-BC

  • Adult Health Nurse Practitioner
  • Utica, NY
  • NPI 1033162888
  NPD

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1972980415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 FRENCH RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025934",
            "telephone_number": "315-765-8448",
            "fax_number": "315-765-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 FRENCH RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025934",
            "telephone_number": "315-765-8448",
            "fax_number": "315-765-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK ASC OMNI OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "315-765-8448"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruyn N Cavic, PH.D.
• Kelly Marie Cenname, PA
• Center for Family Life and Recovery, Inc
• Central Association for the Blind and Visually Impaired
• Central Association for the Blind, Inc.
• Central New York Cardiology, PC
• Central New York Health Home Network, LLC
• Central New York Services, Inc.
• Central New York Services, Inc.
• Central New York Services, Inc.

• Ambulatory Surgical Clinic/Center in Utica, NY
• Providers in Utica, 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 Dec 7, 2022; 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.