NY ENDOVASCULAR CENTER LLC
Clinic/Center (Ambulatory Surgical)

Address: 505 E 116th St Ste 300, New York, NY 10029-1704

NY ENDOVASCULAR CENTER LLC (NPI# 1740879055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740879055
Entity Type Organization
Organization Name NY ENDOVASCULAR CENTER LLC
Practice Address 505 E 116th St Ste 300
New York
NY 10029-1704
Practice Telephone 6467912274
Practice Fax Number 6467912435
Mailing Address 182 Industrial Rd
Glen Rock
PA 17327-8626
Mailing Telephone 8334263636
Mailing Fax Number 7177595435
Certification Date 2021-01-13
Enumeration Date 2021-01-12
Last Update Date 2021-01-13
Authorized Official Telephone 7177595148
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 505 E 116TH ST STE 300
City NEW YORK
State NY
Zip Code 10029-1704

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1083230833 Surgicare of Westside, LLC 438 W 51st St Fl 5, New York, NY 10019-6503 2020-06-17
1083262539 Uptown Surgical Services P.c 111 East 71st Street, New York, NY 10021 2019-08-28
1922666940 Gpddc, LLC 2 Bennett Ave Fl 2, New York, NY 10033-2148 2019-06-04
1467933002 New York Center for Ambulatory Surgery LLC 1210 2nd Ave, New York, NY 10065-7403 2018-08-22
1841788809 Manhattan Reproductive Surgery Center, LLC 65 Broadway Fl 21, New York, NY 10006-2503 2018-04-25
1649786377 Fifth Ave Podiatric Surgery Suite 133 E 54th St Rm 2a, New York, NY 10022-4538 2017-12-18
1346792165 Hss Asc of Manhattan LLC · Hss Asc of Manhattan 1233 2nd Ave, New York, NY 10065-6705 2016-10-27
1184074361 Unique Surgical Pavilion LLC 369 Lexington Ave Ste 800, New York, NY 10017-6506 2016-06-17
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Competitor

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City NEW YORK
Zip Code 10029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.