EVERETT ROAD ASC LLC NPI 1164083911

NPI Information

NPI: 1164083911
Provider Name: EVERETT ROAD ASC, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D2172394

Address:
123 EVERETT RD
ALBANY, NY
ZIP 12205
Phone: (518) 489-2663
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EVERETT ROAD ASC, LLC is an ambulatory surgical clinic center in Albany, NY. EVERETT ROAD ASC, LLC NPI is 1164083911. The provider is registered as an organization entity type.

The provider's business location address is:

123 EVERETT RD
ALBANY, NY
ZIP 12205-407
Phone: (518) 489-2663

The provider's authorized official is Frank Congiusta .
The authorized official title is President and has the following contact phone number (518) 489-2663.

The CLIA number assigned to this NPI record is 33D2172394 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2019 and was last updated on 6/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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