Organization Active NPI

Victoryendoscopyunit,PLLC

  • Ambulatory Surgical Clinic/Center
  • Staten Island, NY
National Provider Identifier
1992957682
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
119659 Issued in NY
Legal business name
VICTORYENDOSCOPYUNIT,PLLC
Practice address
2281 Victory Blvd
Staten Island, NY 10314-6625
Phone
(718) 761-4948
Fax
(718) 698-7746
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Jeffrey Allan Shaps, M.D.
Title
Director
Phone
(718) 761-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 119659 NY Primary

Addresses

Primary practice location

2281 Victory Blvd
Staten Island, NY 10314-6625

Mailing address

2281 Victory Blvd
Staten Island, NY 10314-6625
Phone (718) 761-4948

National Provider Directory

National Provider Directory

Locations

2281 Victory Blvd
Staten Island, NY 10314
Phone (718) 494-6400

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1992957682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "718-761-4948",
            "fax_number": "718-698-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "718-761-4948",
            "fax_number": "718-698-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORYENDOSCOPYUNIT,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "SHAPS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-761-4948",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "119659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.