ROCKAWAYS AMBULATORY SURGERY CENTER
NPI 1235640855
Clinic/Center - Ambulatory Surgical in Rockaway Park, NY

Active since October 23, 2017CLIA 33D2140189 · Waiver
105-20 ROCKAWAY BEACH BLVD, SUITE 301, ROCKAWAY PARK, NY 11694(917) 696-3192 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rockaways Ambulatory Surgery Center NPPES

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

ROCKAWAYS AMBULATORY SURGERY CENTER (NPI 1235640855) is a healthcare organization registered as an ambulatory surgical in Rockaway Park, New York and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mark Gelwan, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1235640855
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameROCKAWAYS ASC DEVELOPMENT, LLC.
Location Address105-20 ROCKAWAY BEACH BLVD, SUITE 301Rockaway Park, NY 11694
Mailing Address105-20 Rockaway Beach Blvd, Suite 301Rockaway Park, NY 11694
Organization SubpartNo
Authorized OfficialMark GelwanPresident / Owner · (917) 696-3192
Enumeration DateOctober 23, 2017
NPI 1235640855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
105-20 ROCKAWAY BEACH BLVD, Rockaway Park, NY 11694

Other Names 1

Doing Business AsRockaways Ambulatory Surgery Center

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 Waiver 33D2140189

Rockaways ASC Development LLC · Rockaway Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2140189
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Anthony T. Pacia
Laboratory Phone(718) 819-5448
Laboratory LocationRockaways ASC Development LLC105-20 Rockaway Beach Blvd - Suite 301, Rockaway Park, NY 11694
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Rockaways ASC Development, LLC.'s NPI number?

The NPI number for Rockaways ASC Development, LLC. is 1235640855. It was assigned to this organization in the NPPES registry on October 23, 2017. The provider is doing business as Rockaways Ambulatory Surgery Center.

Where is Rockaways ASC Development, LLC. located?

Rockaways ASC Development, LLC. is located at 105-20 Rockaway Beach Blvd Suite 301, Rockaway Park, NY 11694. The listed phone number is (917) 696-3192.

What is Rockaways ASC Development, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Rockaways ASC Development, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2140189) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rockaways ASC Development, LLC. was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.