Northeast Surgery PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHEAST SURGERY PC

Practice address

666 Lexington Ave Ste 104
Mount Kisco, NY 10549-3638

Phone

(914) 588-2665

NPI assigned

Mar 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Farella, MD

Title

Owner

Phone

(914) 588-2665

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1003086729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORTH ST STE 408",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052215",
            "telephone_number": "914-588-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVE STE 104",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493638",
            "telephone_number": "914-588-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "FARELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-588-2665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "163861-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E98544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Charles Nisch, M.D.
• Mark Nogueira, MD
• William B. Nolan III, M.D.
• Joan Nordlinger, L.C.S.W.
• Northeast Radiology PC
• Northeastern Pain Management of NJ, PC
• Northern Westchester Emergency Medical Associates PLLC
• Northern Westchester Faculty Medical Affiliates, University Faculty PR
• Northern Westchester Hospital Assoc
• Northern Westchester Hospital Assoc

• All providers in Mount Kisco, NY
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.