David Vivas, Physician, PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

284005 Issued in NY

Legal business name

DAVID VIVAS, PHYSICIAN, PC

Practice address

1075 Franklin Ave
Garden City, NY 11530-2930

Phone

(516) 478-4540

Fax

(516) 248-5031

NPI assigned

Oct 24, 2016

Last updated

Mar 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Vivas, M. D.

Title

President

Phone

(516) 478-4540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1033660196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302930",
            "telephone_number": "516-478-4540",
            "fax_number": "516-248-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302930",
            "telephone_number": "516-478-4540",
            "fax_number": "516-248-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID VIVAS, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "VIVAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-478-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "284005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandra N. Dauz, PT, DPT
• Thomas A Davenport, M.D.
• David E.K. Hong DO, P.C.
• David Lipetz Physical Therapy, PLLC
• David Vivas MD
• Bryan R Davidson, PT
• Elyse Davidson, LCSW
• Allan E Davis, O.D.
• Carly Davis, LMSW
• Christina Davis, MOT OTRL

• Colon & Rectal Surgery Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.