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BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC
NPI 1073835641
Clinic/Center - Multi-Specialty in Brooklyn, NY

Active since February 23, 2010
200 BROOKLYN AVE, BROOKLYN, NY 11213(718) 498-7888(718) 604-7890 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Green Horizons Office Based Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC (NPI 1073835641) is a healthcare organization registered as a multi-specialty in Brooklyn, New York and active in the NPI registry since February 2010. The organization lists Shelby K. Samuel, Owner, as its authorized official.

NPPES Registry Identity

NPI1073835641
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC
Location Address200 BROOKLYN AVEBrooklyn, NY 11213-1908
Mailing Address200 Brooklyn AveBrooklyn, NY 11213-1908 · (718) 498-7888 · Fax (718) 604-7890
Phone(718) 498-7888
Fax(718) 604-7890
Organization SubpartNo
Authorized OfficialShelby K. SamuelOwner · (718) 498-7888
Enumeration DateFebruary 23, 2010
✔ NPI 1073835641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in NY · 176352
200 BROOKLYN AVE, Brooklyn, NY 11213
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D1042763

Blue Green Horizons Office Based Surgery PLLC · Brooklyn, NY
Expired · Jul 31, 2026
CLIA Number33D1042763
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Zesong Zhang
Laboratory Phone(718) 498-7888
Laboratory LocationBlue Green Horizons Office Based Surgery PLLC200 Brooklyn Avenue, Brooklyn, NY 11213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHELBY KEVIN SAMUEL M.D.
Internal Medicine (Gastroenterology)
200 BROOKLYN AVE
BROOKLYN, NY 11213
Kings County (718) 498-7888
BROOKLYN AVENUE MEDICAL PLLC
Anesthesiology
200 BROOKLYN AVE
BROOKLYN, NY 11213
Kings County (718) 498-7888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Green Horizons Office Based Surgery PLLC's NPI number?

The NPI number for Blue Green Horizons Office Based Surgery PLLC is 1073835641. It was assigned to this organization in the NPPES registry on February 23, 2010.

Where is Blue Green Horizons Office Based Surgery PLLC located?

Blue Green Horizons Office Based Surgery PLLC is located at 200 Brooklyn Ave, Brooklyn, NY 11213. The listed phone number is (718) 498-7888.

What is Blue Green Horizons Office Based Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Blue Green Horizons Office Based Surgery PLLC was last updated on February 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.