Sound Shore Surgical Assoc of New Rochelle LLP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

168873 Issued in NY

Legal business name

SOUND SHORE SURGICAL ASSOC OF NEW ROCHELLE LLP

Practice address

140 Lockwood Ave Suite 103
New Rochelle, NY 10801-4915

Phone

(914) 632-9650

Fax

(914) 636-8726

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Leonard Maffucci, MD

Title

Partner

Phone

(914) 632-9650

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhu Sudan Rangraj, MD FACS

  • Surgery Physician
  • New Rochelle, NY
  • NPI 1104815299
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1023289469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE SUITE 103",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-632-9650",
            "fax_number": "914-636-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE SUITE 103",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-632-9650",
            "fax_number": "914-636-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SHORE SURGICAL ASSOC OF NEW ROCHELLE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MAFFUCCI",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "914-632-9650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "168873",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "130100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "WEN501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Shore Oral & Maxillofacial Surgery, P.C.
• Sound Shore Pharmacy, Inc
• Sound Shore Physician Services
• Sound Shore Provider Services
• Sound Shore Radiology Services
• Sound Shore Urology Group PC
• Source Holdings LLC
• Source of Success ABA, LLC
• Southern Westchester Ophthalmology P.C. (Westchester Eye M.D.s)
• Linda Spaccavento, M.A., SLP

• Surgery Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.