1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Clinic Center
  6. NPI Profile

CROTONA PARKWAY ASC, LLC
NPI 1922754605
Clinic/Center - Ambulatory Surgical in Bronx, NY

Active since February 22, 2022CLIA 33D2255502 · Waiver
1976 CROTONA PKWY # 2A, BRONX, NY 10460(203) 917-0793 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2023, Feb 22, 2022 (2 updates tracked since 2022).

About Crotona Parkway Asc, Llc NPPES

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

CROTONA PARKWAY ASC, LLC (NPI 1922754605) is a healthcare organization registered as an ambulatory surgical in Bronx, New York and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Valentyna Mino, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922754605
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCROTONA PARKWAY ASC, LLC
Location Address1976 CROTONA PKWY # 2ABronx, NY 10460-1526
Mailing Address1976 Crotona Pkwy # 2a3bBronx, NY 10460-1526 · (718) 307-5700
Phone(203) 917-0793
Organization SubpartNo
Authorized OfficialValentyna MinoAdministrator · (203) 917-0793
Enumeration DateFebruary 22, 2022
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1922754605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1976 CROTONA PKWY # 2A, Bronx, NY 10460
Open in Google Maps ↗

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 33D2255502

Crotona Parkway ASC · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2255502
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 15, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Boleslav Kosharskyy
Laboratory Phone(718) 307-5700
Laboratory LocationCrotona Parkway ASC1976 Crotona Pkwy - 2A, Bronx, NY 10460
CLIA data matches this NPI record on: Name Phone
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 Crotona Parkway ASC, LLC's NPI number?

The NPI number for Crotona Parkway ASC, LLC is 1922754605. It was assigned to this organization in the NPPES registry on February 22, 2022.

Where is Crotona Parkway ASC, LLC located?

Crotona Parkway ASC, LLC is located at 1976 Crotona Pkwy # 2A, Bronx, NY 10460. The listed phone number is (203) 917-0793.

What is Crotona Parkway ASC, LLC's specialty?

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

Does Crotona Parkway ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2255502) 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 Crotona Parkway ASC, LLC was last updated on February 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.