Eastern Long Island General and Vascular Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

143299 Issued in NY

Legal business name

EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC

Practice address

335A Meeting House LN
Southampton, NY 11968-5051

Phone

(631) 287-6570

Fax

(631) 287-6578

NPI assigned

Apr 17, 2007

Last updated

Apr 25, 2013By 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. Richard J RiccaNPI 1003887878

Title

Surgeon

Phone

(631) 287-6570

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Richard James Ricca, M.D., F.A.C.S.

  • Specialist
  • Southampton, NY
  • NPI 1003887878
  Authorized official Same address or phone
• Steven Paul Ouzounian, M.D.

  • Surgery Physician
  • Hampton Bays, NY
  • NPI 1386615243

  Specialist

  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1083839617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335A MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685051",
            "telephone_number": "631-287-6570",
            "fax_number": "631-287-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335A MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685051",
            "telephone_number": "631-287-6570",
            "fax_number": "631-287-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "631-287-6570",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "143299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East End Anesthesiologists LLC
• East End Kids Psy, SLP, OT & PT Serv. PLLC
• East End Kids Therapy, Inc.
• East End Pain Management, LLC (East End Pain Center)
• East Ends Tooth Ferry Pediatric Dentistry PLLC
• Eastern Long Island Surgery PC
• Eastern Suffolk Urology PC
• Deborah Edelman, LMSW
• Perry Steven Eisman, M.D.
• Susan Maria Elrich, MD

• Specialist in Southampton, NY
• Providers in Southampton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.