Long Island Surgical Specialists, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

155919 Issued in NY

Legal business name

LONG ISLAND SURGICAL SPECIALISTS, PC

Practice address

410 Lakeville Rd
Suite 310
New Hyde Park, NY 11042-1101

Phone

(516) 437-1111

Fax

(516) 437-1212

NPI assigned

Dec 19, 2007

Last updated

Apr 24, 2008By 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

Ali Piscitelli

Title

Billing Supervisor

Phone

(516) 437-1111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1083898654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-437-1111",
            "fax_number": "516-437-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-437-1111",
            "fax_number": "516-437-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND SURGICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "PISCITELLI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "516-437-1111"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "155919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "02852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Island Neurosurgical Associates PC
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• Long Island Rheumatology PLLC
• Long Island Women's Obstetrics and Gynecology PLLC
• Lois C Long, RN
• Madison Hebert Long, PA-C
• Anthony J Longo Sr., RPH, PHARMD
• Reena Loona, MD

• Specialist in New Hyde Park, NY
• Providers in New Hyde Park, 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 24, 2008; 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.