Organization Active NPI

Long Island Spine & Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Hicksville, NY
National Provider Identifier
1093930653
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1957381
Legal business name
LONG ISLAND SPINE & ORTHOPEDICS, PC
Practice address
87 West Old Country Rd.
Hicksville, NY 11801
Phone
(516) 433-1100
Fax
(516) 433-1342
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Philip M Rafiy, M.D.NPI 1710089198
Title
Chief Officer
Phone
(516) 433-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 1957381 Primary

Addresses

Primary practice location

87 West Old Country Rd.
Hicksville, NY 11801

Mailing address

87 West Old Country Rd.
Hicksville, NY 11801
Phone (516) 433-1100

Other identifiers 1

IdentifierTypeStateIssuer
01494884MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111110000652 NY Part B Supplier - Clinic/Group Practice 0840464772 Receives reassigned benefits from 1 practitioner
Practice locations: Hicksville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1093930653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 WEST OLD COUNTRY RD.",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-433-1100",
            "fax_number": "516-433-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 WEST OLD COUNTRY RD.",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-433-1100",
            "fax_number": "516-433-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND SPINE & ORTHOPEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "RAFIY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "516-433-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": "1957381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01494884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.