SOUTH SHORE AMBULATORY SURGERY CENTER (NPI# 1659375632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659375632 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE AMBULATORY SURGERY CENTER |
| Practice Address |
444 Merrick Rd Ste 400 Lynbrook NY 11563-2400 |
| Practice Telephone | 5168870890 |
| Practice Fax Number | 5168876219 |
| Mailing Telephone | 5168870890 |
| Mailing Fax Number | 5168876219 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRAN CICCIMARRO (BUSINESS MANAGER) |
| Authorized Official Telephone | 5168870890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
2907200R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02518761 | 05 |
| Street Address |
444 MERRICK RD STE 400 |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391019 | Christopher Louis Palladino | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-09-22 |
| 1992311138 | Judyanne E Donohue | Specialist/Technologist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-09-22 |
| 1508484916 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-07-12 |
| 1700421500 | Darwin Davis | Occupational Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2019-11-15 |
| 1346740602 | North Shore-lij Cardiovascular Medicine PC | Occupational Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2018-02-13 |
| 1003322751 | Thomas Denapoli | Physician Assistant | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2017-12-18 |
| 1518486455 | Christie George Mathew | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2017-09-12 |
| 1093259178 | David S Bensol | Pharmacist | 444 Merrick Rd, Ll5, Lynbrook, NY 11563-2460 | 2016-12-08 |
| 1588056030 | Mary C Barry | Physician Assistant | 444 Merrick Rd, Suite 100, Lynbrook, NY 11563-2460 | 2015-02-20 |
| 1548534589 | Merrick Road Medical Care & Associates PC | Internal Medicine | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2012-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
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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 |
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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.