ROCKAWAYS ASC DEVELOPMENT, LLC. (NPI# 1235640855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235640855 |
| Entity Type | Organization |
| Organization Name | ROCKAWAYS ASC DEVELOPMENT, LLC. |
| Other Organization Name | ROCKAWAYS AMBULATORY SURGERY CENTER |
| Practice Address |
105-20 Rockaway Beach Blvd Suite 301 Rockaway Park NY 11694 |
| Practice Telephone | 9176963192 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Authorized Official Name | DR. MARK GELWAN (PRESIDENT / OWNER) |
| Authorized Official Telephone | 9176963192 |
| 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 |
|---|---|
| Rockaways Ambulatory Surgery Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ROCKAWAYS ASC DEVELOPMENT, LLC | 105-20 Rockaway Beach Blvd., Suite 301, Rockaway Park, New York 11694 |
| Street Address |
105-20 ROCKAWAY BEACH BLVD SUITE 301 |
| City | ROCKAWAY PARK |
| State | NY |
| Zip Code | 11694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775941 | Shrok Sayed Elsayed | Physical Therapist | 234 Beach 124th St, Rockaway Park, NY 11694 | 2019-11-18 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1275026684 | Aba Tree | Behavioral Analyst | 142 B120 Street, Rockaway Street, NY 11694 | 2018-06-11 |
| 1841721479 | Mary Mongelli | Behavioral Analyst | 414 Beach124 Street, Belle Harbor, NY 11694 | 2017-03-24 |
| 1033659495 | Tri Center | Community/Behavioral Health | 2488 Grand Concourse Suite 417, Bronx, NY 11694 | 2017-03-06 |
| 1083079446 | Bernadette Favard | Licensed Practical Nurse | 140 Beach 114street, Promenaden Ursing Home, Rockaway Park, NY 11694 | 2015-12-29 |
| 1801231808 | Matthew Tagliavia | Pharmacist | 449 Beach 129th St, Belle Harbor, NY 11694 | 2013-05-03 |
| 1831445436 | Megan Leigh Hill | Social Worker | 140 Beach 112th St, Rockaway Park, NY 11694 | 2012-08-01 |
| 1710241112 | Scott Blutstein | Specialist | 411 Beach 133 Street, Rockaway Park, NY 11694 | 2012-06-29 |
| 1346502226 | Anne-marie Ruggiero-miller | Specialist | 244 Beach 127 Street, Rockaway Park, NY 11694 | 2012-06-15 |
| Find all providers in zip 11694 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | ROCKAWAY PARK |
| Zip Code | 11694 |
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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.