NPIMap

Organization Active NPI

Surgical Specialists of Greater Ny LLP

  • Surgery Physician
  • Oyster Bay, NY
National Provider Identifier
1023315512
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL SPECIALISTS OF GREATER NY LLP
Practice address
40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone
(718) 626-0707
Fax
(718) 545-0333
NPI assigned
Feb 17, 2011
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Dr. Panagiotis A Manolas, M.D.NPI 1720050701
Title
President
Phone
(718) 626-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X

Addresses

Primary practice location

40 Berry Hill Rd
Oyster Bay, NY 11771-3515

Mailing address

40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (718) 626-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110517000692 NY Part B Supplier - Clinic/Group Practice 3375729833 Receives reassigned benefits from 12 practitioners
Practice locations: Staten Island, NY; Oyster Bay, NY; New York, NY; Bethpage, NY; Bayside, NY; Melville, NY; Astoria, NY; Babylon, NY

National Provider Directory

National Provider Directory

Locations

375 Seguine Ave
Bldg 29
Staten Island, NY 10309
Phone (718) 226-2288

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1023315512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BERRY HILL RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713515",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BERRY HILL RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117713515",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF GREATER NY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "MANOLAS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-626-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.