CEAN SURGICAL PLAZA (NPI# 1104050517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104050517 |
| Entity Type | Organization |
| Organization Name | CEAN SURGICAL PLAZA |
| Practice Address |
1200 Waters Pl Suite 106 Bronx NY 10461-2728 |
| Mailing Address |
1400 5th Ave Suite 3e New York NY 10026-2584 |
| Practice Telephone | 8009755109 |
| Practice Fax Number | 7187322511 |
| Mailing Telephone | 8009755109 |
| Mailing Fax Number | 7187322511 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |
| Authorized Official Name | DR. CONRAD FRITZ CEAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8009755109 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
225389 | NY | Ambulatory Health Care Facilities |
| Street Address |
1200 WATERS PL SUITE 106 |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750673 | Jay A Fleischman | Ophthalmology | 1200 Waters Pl, Suite M104, Bronx, NY 10461-2728 | 2005-06-15 |
| 1629678016 | Courtney Zacharias | Physician Assistant | 1200 Waters Pl, Bronx, NY 10461-2728 | 2020-10-27 |
| 1639777972 | Meredith Moore | Physician Assistant | 1200 Waters Pl, Bronx, NY 10461-2728 | 2020-10-09 |
| 1245856855 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 1200 Waters Pl, Bronx, NY 10461-2728 | 2020-06-19 |
| 1003446683 | Danielle Wietschner | Physician Assistant | 1200 Waters Pl, Bronx, NY 10461-2728 | 2020-01-22 |
| 1801311279 | Christina Moller | Physician Assistant | 1200 Waters Pl, Bronx, NY 10461-2728 | 2017-08-07 |
| 1730635236 | Erin Chipalowsky | Audiologist | 1200 Waters Pl, South Lobby, Suite 110, Bronx, NY 10461-2728 | 2016-08-25 |
| 1700239027 | Avigayil Schreiber | Audiologist | 1200 Waters Pl, Suite 110, Bronx, NY 10461-2728 | 2016-07-21 |
| 1982088878 | Lauren Sessa | Audiologist | 1200 Waters Pl, Suite 110, Bronx, NY 10461-2728 | 2015-07-10 |
| 1538554571 | Michael J Skonieczny Dpm LLC | Podiatrist | 1200 Waters Pl, Suite M101, Bronx, NY 10461-2728 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023551413 | Mid-bronx Endoscopy Center LLC | Clinic/Center | 51 West Burnside Ave, Bronx, NY 10453-4038 | 2016-12-02 |
| 1720407273 | Bronx Sc LLC | Clinic/Center | 3170 Webster Ave, Bronx, NY 10467-4902 | 2014-04-14 |
| 1619398542 | Avicenna Asc Inc. | Clinic/Center | 2522 Hughes Ave, Bronx, NY 10458-5112 | 2013-12-19 |
| 1811235435 | North Bronx Healthcare Network | Clinic/Center | 1400 Pelham Pkwy S Bay Parkway, Bronx, NY 10461-1119 | 2013-01-17 |
| 1306249453 | Mark Fromer, LLC | Clinic/Center | 3130 Grand Concourse, B5, Bronx, NY 10458-1213 | 2014-10-03 |
| 1780810150 | Ny Surgical & Anesthesia Suites PC | Clinic/Center | 3620 E Tremont Ave, Suite 102, Bronx, NY 10465-2038 | 2009-05-29 |
| 1669644837 | Uptown Healthcare Management, Inc. | Clinic/Center | 930 E Tremont Ave, Bronx, NY 10460-4304 | 2008-03-28 |
| 1376641670 | Ambulatory Surgery Center of Greater New York, LLC | Clinic/Center | 1101 Pelham Pkwy N, Bronx, NY 10469-5411 | 2006-09-20 |
| 1336252402 | Advanced Endoscopy Center LLC | Clinic/Center | 5500 Broadway, Suite A, Bronx, NY 10463-5203 | 2006-08-15 |
| 1104883990 | Surgicare Ambulatory Center, Inc. | Clinic/Center | 3250 Westchester Ave, Suite 102, Bronx, NY 10461-4500 | 2006-04-27 |
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| 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.