SCOB LLC NPI 1639689250

NPI Information

  • NPI: 1639689250
  • Provider Name: SCOB, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SURGICARE OF BROOKLYN
  • CLIA Number: 33D2166177
  • Address: 313 43RD ST
    BROOKLYN, NY
    ZIP 11232
  • Phone: (718) 369-4800

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NPI Details

SCOB, LLC is an ambulatory surgical clinic center in Brooklyn, NY. SCOB, LLC NPI is 1639689250. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgicare Of Brooklyn.

The provider's business location address is:

313 43RD ST
BROOKLYN, NY
ZIP 11232-609
Phone: (718) 369-4800

The provider's authorized official is Sona Gardella .
The authorized official title is Director Of Operations and has the following contact phone number (201) 549-9998.

The CLIA number assigned to this NPI record is 33D2166177 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 6/21/2021.

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 SurgicalYes

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: 3/30/2025

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