EVERETT ROAD ASC, LLC (NPI# 1164083911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164083911 |
| Entity Type | Organization |
| Organization Name | EVERETT ROAD ASC, LLC |
| Practice Address |
123 Everett Rd Albany NY 12205-1407 |
| Mailing Address |
121 Everett Rd Albany NY 12205-1474 |
| Practice Telephone | 5184892663 |
| Mailing Telephone | 5184892663 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | FRANK CONGIUSTA (PRESIDENT) |
| Authorized Official Telephone | 5184892663 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Everett Road Surgery Center | Doing Business As Name - Organization |
| Street Address |
123 EVERETT RD |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419232 | Gavin Setzen | Otolaryngology | 123 Everett Rd, Albany, NY 12205-1407 | 2005-07-03 |
| 1649881061 | Maria Pina Ragonese | Audiologist | 123 Everett Rd, Albany, NY 12205-1407 | 2020-08-10 |
| 1629619846 | Daniel A Horton | Physician Assistant | 123 Everett Rd, Albany, NY 12205-1407 | 2019-09-30 |
| 1912553017 | Courtney Leadbeater | Audiologist | 123 Everett Rd, Albany, NY 12205-1407 | 2019-08-14 |
| 1710496757 | Jacqueline Rosenbaum | Physician Assistant | 123 Everett Rd, Albany, NY 12205-1407 | 2017-09-21 |
| 1669841920 | Andrew Larsen | Physician Assistant | 123 Everett Rd, Albany, NY 12205 | 2015-09-16 |
| 1255772232 | Michael J Rizzuto | Physician Assistant | 123 Everett Rd, Albany, NY 12205-1407 | 2013-07-08 |
| 1750649760 | Jessica Lynn Riccio | Otolaryngology | 123 Everett Rd, Albany, NY 12205-1407 | 2012-04-26 |
| 1730461914 | Dana A Wilhite | Audiologist | 123 Everett Rd, Albany, NY 12205-1407 | 2011-09-14 |
| 1760641096 | Nora Whitbeck Perkins | Otolaryngology | 123 Everett Rd, Albany, NY 12205-1407 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356750707 | Nexus of Albany Surgery Center LLC | Clinic/Center | 2810 Meredyth Dr, Suite 101, Albany, GA 31707-2278 | 2014-08-11 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| 1285976241 | South Georgia Urology Surgery Center, LLC | Clinic/Center | 803 N Jackson St Ste B, Albany, GA 31701-2313 | 2013-03-18 |
| 1952483307 | Shackelford County Hospital District | Clinic/Center | 432 Kenshalo, Albany, TX 76430 | 2006-10-19 |
| 1134773401 | Vascular Surgery Clinic of Amch | Clinic/Center | 391 Myrtle Avenue, 5th Floor, Albany, NY 12208 | 2019-07-25 |
| 1184083958 | Southern Surgery Center, LLC | Clinic/Center | 605 N Westover Blvd, Albany, GA 31707-2188 | 2016-02-22 |
| 1881910818 | Orthocare Surgery Center, LLC | Clinic/Center | 619 Pointe North Blvd, Albany, GA 31721-1514 | 2010-04-15 |
| 1407065444 | Albany Endoscopy Center, Inc. | Clinic/Center | 1009 N Monroe St, Suite 101, Albany, GA 31701-1970 | 2007-05-22 |
| 1598981888 | Premier Orthopedic Surgicenter, LLC | Clinic/Center | 2405 Osler Ct, Suite 100, Albany, GA 31707-0214 | 2007-04-17 |
| 1528196888 | Northwest Plaza Asc LLC | Clinic/Center | 2311 Lake Park Dr, Suite 4, Albany, GA 31707-3183 | 2007-03-01 |
| Find all providers in ALBANY | ||||
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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.