Individual provider Active NPI

Steven Pelaez, M.D.

  • Colon & Rectal Surgery Physician
  • Garden City, NY
National Provider Identifier
1083638118
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
170044-1 Issued in NY
Practice address
1100 Franklin Ave
Suite 203
Garden City, NY 11530-3221
Phone
(516) 248-2422
Fax
(516) 248-5162
NPI assigned
Jul 26, 2006
Last updated
Aug 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 170044-1 NY
Colon & Rectal Surgery Physician 208C00000X 170044-1 NY Primary

Addresses

Primary practice location

1100 Franklin Ave
Suite 203
Garden City, NY 11530-3221

Mailing address

1100 Franklin Ave
Suite 203
Garden City, NY 11530-3221
Phone (516) 248-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005001146 NY Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 1355366659 Reassigns benefits to 1 organization
Practice locations: Garden City, NY; Setauket, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
170044-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Oct 1, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients

Locations

657 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-0670

500 Commack Rd
Unit 150D
Commack, NY 11725
Phone (318) 644-4996

200 Belle Terre Rd
Ste 300
Prt Jefferson, NY 11777
Phone (631) 331-0776

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Interoperability endpoints

  • Direct secure messaging: spelaez47802@direct-chsli.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1083638118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE",
            "address_2": "SUITE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303221",
            "telephone_number": "516-248-2422",
            "fax_number": "516-248-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE",
            "address_2": "SUITE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303221",
            "telephone_number": "516-248-2422",
            "fax_number": "516-248-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ",
        "first_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "170044-1",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "170044-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.