Bright Water Medical Procedure Suite, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BRIGHT WATER MEDICAL PROCEDURE SUITE, PLLC

Practice address

404 Potter Blvd
Brightwaters, NY 11718-1830

Phone

(631) 376-0055

Fax

(631) 376-0099

NPI assigned

May 31, 2013

Last updated

May 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin M Schwartz, MDNPI 1235164120

Title

Owner

Phone

(631) 376-0055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Benjamin Michael Schwartz, MD

  • Gynecologic Oncology Physician
  • Brightwaters, NY
  • NPI 1235164120
  Authorized official Same address or phone

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1982041869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 POTTER BLVD",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181830",
            "telephone_number": "631-376-0055",
            "fax_number": "631-376-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 POTTER BLVD",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181830",
            "telephone_number": "631-376-0055",
            "fax_number": "631-376-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT WATER MEDICAL PROCEDURE SUITE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-376-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lauria Baumann, D.O.
• Brianna Lee Blaskey, PA-C
• Julia Dlhopolsky Block, MD
• Joanne Brennan, RN, CPN
• Bright Bay Physical Therapy P.C.
• Andrew Burton
• Paul Cain, D.D.S.
• Care First Anesthesia Professionals, PLLC
• Catherine M Carey, RDN
• Anthony Cipriano

• Ambulatory Surgical Clinic/Center in Brightwaters, NY
• Providers in Brightwaters, 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 May 31, 2013; 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.