KINGSTON AMBULATORY SURGICAL CENTER – NPI #1568471852
Clinic/Center

KINGSTON AMBULATORY SURGICAL CENTER is an AHC clinic located in KINGSTON, NY. NPPES has assigned the NPI number 1568471852 to KINGSTON AMBULATORY SURGICAL CENTER on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Aug 25, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KINGSTON AMBULATORY SURGICAL CENTER below.

NPI Profile for
KINGSTON AMBULATORY SURGICAL CENTER

NPI Number
1568471852
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KINGSTON AMBULATORY SURGICAL CENTER
Primary location
40 HURLEY AVE
SUITE 13
KINGSTON, NY 12401-3739
Phone: (845) 338-4777 Fax: (845) 339-7339
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHLEEN KELLY
ADMINISTRATOR/CEO
Phone: (845) 338-4777
Updated
Identifiers

Identifiers for KINGSTON AMBULATORY SURGICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNYS DOH LICENSE #NY5501210R
MEDICAIDNY178394
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
NY 5501210R

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.