FIFTH AVENUE SURGERY CENTER LLC NPI 1235220682

NPI Information

NPI: 1235220682
Provider Name: FIFTH AVENUE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Former Legal Business Name: FRENCH AMERICAN SURGERY CENTER
CLIA Number: 33D2178732
Address: 1049 5TH AVE
NEW YORK, NY
ZIP 10028
Phone: (212) 772-6667

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NPI Details

FIFTH AVENUE SURGERY CENTER, LLC is an ambulatory surgical clinic center in New York, NY. FIFTH AVENUE SURGERY CENTER, LLC NPI is 1235220682. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is French American Surgery Center.

The provider's business location address is:

1049 5TH AVE
NEW YORK, NY
ZIP 10028-115
Phone: (212) 772-6667
Fax: (212) 988-8018

The provider's authorized official is Charles J Raab .
The authorized official title is Chief Financial Officer and has the following contact phone number (212) 772-6667.

The CLIA number assigned to this NPI record is 33D2178732 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/3/2011.

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	7002195R	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z95131	MEDICARE PIN	NEW YORK
2	0455952	OTHER	NEW YORK	CIGNA HEALTHCARE
3	NZ0867	OTHER	NEW YORK	HEALTH NET
4	01238288	MEDICAID	NEW YORK
5	003617	OTHER	NEW YORK	EMPIRE BLUE CROSS
6	ANC282	OTHER	NEW YORK	OXFORD HEALTH PLANS

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: 11/21/2025

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