CSR OUTPATIENT MEDICAL SERVICES, LLC (NPI# 1871824474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871824474 |
| Entity Type | Organization |
| Organization Name | CSR OUTPATIENT MEDICAL SERVICES, LLC |
| Practice Address |
585 Broadway Massapequa NY 11758-5023 |
| Practice Telephone | 5167971234 |
| Mailing Telephone | 5167971234 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-11-15 |
| Authorized Official Name | DR. STANLEY A FOX (DIRECTOR) |
| Authorized Official Telephone | 5167972146 |
| 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 |
NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093149650 | Csr Outpatient Medical Services, LLC | Clinic/Center | 585 Broadway, Massapequa, NY 11758-5023 | 2013-08-30 |
| Street Address |
585 BROADWAY |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780673566 | Stanley Alan Fox | Internal Medicine | 585 Broadway, Broadway Internal Medicine Associates, Massapequa, NY 11758-5023 | 2005-10-14 |
| 1093149650 | Csr Outpatient Medical Services, LLC | Clinic/Center | 585 Broadway, Massapequa, NY 11758-5023 | 2013-08-30 |
| 1255519617 | Irina Kholodny | Physician Assistant | 585 Broadway, Massapequa, NY 11758 | 2008-02-07 |
| 1952446189 | Broadway Internal Medicine Associates P.C. | Internal Medicine | 585 Broadway, Massapequa, NY 11758 | 2007-02-21 |
| 1841335577 | Marina Klindo | Physician Assistant | 585 Broadway, Massapequa, NY 11758-5023 | 2007-02-20 |
| 1619958931 | Robert Morton Marcus | Internal Medicine | 585 Broadway, Massapequa, NY 11758-5023 | 2005-11-14 |
| 1730160664 | Debra Ann Hahn | Physician Assistant | 585 Broadway, Massapequa, NY 11758-5023 | 2005-11-08 |
| 1992796288 | Christopher Larosa | Physician Assistant | 585 Broadway, Broadway Internal Medicine Associates, Massapequa, NY 11758 | 2005-11-04 |
| 1528057353 | Charles Kenneth Miceli | Internal Medicine | 585 Broadway, Massapequa, NY 11758-5023 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093149650 | Csr Outpatient Medical Services, LLC | Clinic/Center | 585 Broadway, Massapequa, NY 11758-5023 | 2013-08-30 |
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|---|---|---|---|---|
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| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on CSR OUTPATIENT MEDICAL SERVICES, LLC.
| 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.