Organization Active NPI

Breast Surgery Associates,PLLC

  • Surgery Physician
  • Huntington, NY
National Provider Identifier
1033278098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BREAST SURGERY ASSOCIATES,PLLC
Practice address
152 E Main St
Suite a
Huntington, NY 11743-2958
Phone
(631) 423-1414
Fax
(631) 423-4902
NPI assigned
Dec 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Margaret Ellis
Title
Office Manager
Phone
(631) 423-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

152 E Main St
Suite a
Huntington, NY 11743-2958

Mailing address

152 E Main St
Suite a
Huntington, NY 11743-2958
Phone (631) 423-1414

National Provider Directory

National Provider Directory

Locations

270 Pulaski Rd
Ste A
Greenlawn, NY 11740
Phone (631) 423-1414

152 E Main St
Ste A
Huntington, NY 11743
Phone (631) 385-7258

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033278098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E MAIN ST",
            "address_2": "SUITE A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432958",
            "telephone_number": "631-423-1414",
            "fax_number": "631-423-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E MAIN ST",
            "address_2": "SUITE A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432958",
            "telephone_number": "631-423-1414",
            "fax_number": "631-423-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST SURGERY ASSOCIATES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-423-1414"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.