LONG ISLAND AMBULATORY SURGERY CENTER, LLC (NPI# 1518057546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518057546 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
601 Suffolk Ave Brentwood NY 11717-4309 |
| Practice Telephone | 6312314949 |
| Practice Fax Number | 6312315421 |
| Mailing Telephone | 6312314949 |
| Mailing Fax Number | 6312315421 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | ELLEN WINTER (NURSE/ADMINISTRATOR) |
| Authorized Official Telephone | 6312314949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
5154205R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01180978 | 05 |
| Street Address |
601 SUFFOLK AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194707570 | Catherine Carmela Scandiffio | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2005-11-18 |
| 1073164836 | Anthony Martinez | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2019-09-24 |
| 1497040422 | Albert A Marcantonio | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2011-06-17 |
| 1477784718 | Barry Richard Stabiner | Technician/Technologist | 601 Suffolk Ave, Ste1, Brentwood, NY 11717-4389 | 2009-08-04 |
| 1790957165 | Michelle Lee Adams | Physician Assistant | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2008-03-26 |
| 1114140266 | Neil Scott Nichols | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-04-10 |
| 1427177930 | Long Island Eye Refractive Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2007-03-28 |
| 1295896033 | Debbie G Wende | Optometrist | 601 Suffolk Ave, Brentwood Vision Center, Brentwood, NY 11717 | 2006-12-13 |
| 1013006576 | Long Island Eye Surgical Care, PC | Ophthalmology | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-10-12 |
| 1285720789 | Daniel Farkas | Optometrist | 601 Suffolk Ave, Brentwood, NY 11717 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1659679074 | Eye Surger Center of Middle Tennessee, LLC | Clinic/Center | 215 Jamestown Park, 205, Brentwood, TN 37027-7500 | 2011-03-09 |
| 1245406305 | Center for Aesthetics, Lasers & Advanced Medicine | Clinic/Center | 317 Seven Springs Way, Suite 203, Brentwood, TN 37027-4575 | 2008-05-07 |
| 1174679054 | Crossroads Surgery Center, LLC | Clinic/Center | 1805 Williamson Ct, Suite 200, Brentwood, TN 37027-7974 | 2007-01-25 |
| 1982620522 | Brentwood Surgery Center, LLC | Clinic/Center | 2400 Balfour Rd, Suite 320, Brentwood, CA 94513-4945 | 2006-07-15 |
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| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 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 |
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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.