PROGRESSIVE SURGERY CENTER LLC NPI 1477645711

NPI Information

  • NPI: 1477645711
  • Provider Name: PROGRESSIVE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 33D1013662
  • Address: 340 BROADHOLLOW RD
    FARMINGDALE, NY
    ZIP 11735
  • Phone: (631) 694-0000

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NPI Details

PROGRESSIVE SURGERY CENTER LLC is an ambulatory surgical clinic center in Farmingdale, NY. PROGRESSIVE SURGERY CENTER LLC NPI is 1477645711. The provider is registered as an organization entity type.

The provider's business location address is:

340 BROADHOLLOW RD
FARMINGDALE, NY
ZIP 11735-807
Phone: (631) 694-0000
Fax: (631) 694-2470

The provider's authorized official is Kendel D Mckenna .
The authorized official title is Administrator and has the following contact phone number (631) 694-0000.

The CLIA number assigned to this NPI record is 33D1013662 - ambulatory surgery center 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, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Complete laser vaporization of prostate including control of bleeding using an endoscope (HCPCS:52648)
  • Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm (HCPCS:52317)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Destruction of prostate tissue using radiofrequency induced heated water vapor (HCPCS:53854)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Crushing, fragmenting, and removal of bladder stones, more than 2.5 cm (HCPCS:52318)
  • Insertion of sacral nerve neurostimulator electrode (HCPCS:64581)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope (HCPCS:52351)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Incision of urethra using an endoscope (HCPCS:52276)
  • Dilation of urethra using an endoscope (HCPCS:52281)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/7/2012.

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
1261QA1903XClinic/CenterAmbulatory Surgical5150202RNEW YORKYes

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
1Z62361MEDICARE ID-TYPE UNSPECIFIEDCMS
202490288MEDICAIDNEW YORK

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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