ROOSEVELT SURGERY CENTER, LLC


Address: 619 W 54th St, Suite 602, New York, NY 10019-3545
Phone: 2122317778

ROOSEVELT SURGERY CENTER, LLC (NPI# 1598039125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598039125
Entity Type Organization
Organization Name ROOSEVELT SURGERY CENTER, LLC
Practice Address 619 W 54th St
Suite 602
New York
NY 10019-3545
Practice Telephone 2122317778
Practice Fax Number 2125811987
Mailing Telephone 2122317778
Mailing Fax Number 2125811987
Enumeration Date 2012-02-29
Last Update Date 2020-02-19
Authorized Official Name DR. JACQUELINE JONES (PRESIDENT)
Authorized Official Telephone 2129962559
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 619 W 54TH ST
SUITE 602
City NEW YORK
State NY
Zip Code 10019-3545

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10019

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Dataset Information

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.

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