NPIMap

Organization Active NPI

South Nassau Orthopedic Surgery and Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Valley Stream, NY
National Provider Identifier
1154332344
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTH NASSAU ORTHOPEDIC SURGERY AND SPORTS MEDICINE, P.C.
Practice address
40 E Merrick Rd
Valley Stream, NY 11580-5947
Phone
(516) 825-1101
Fax
(718) 766-9763
NPI assigned
Aug 11, 2006
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Betsy Vargas
Title
Billing Collections Manager
Phone
(973) 816-2259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

40 E Merrick Rd
Valley Stream, NY 11580-5947

Mailing address

185 Kingsland St
Nutley, NJ 07110-1119
Phone (516) 825-1101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000567 NY Part B Supplier - Clinic/Group Practice 5395734560 Receives reassigned benefits from 6 practitioners
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Locations

131 Merrick Rd
Ste 2
Merrick, NY 11566
Phone (516) 377-5900

64 S Central Ave
Valley Stream, NY 11580
Phone (516) 825-1101

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1154332344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 KINGSLAND ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101119",
            "telephone_number": "516-825-1101",
            "fax_number": "718-766-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805947",
            "telephone_number": "516-825-1101",
            "fax_number": "718-766-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU ORTHOPEDIC SURGERY AND SPORTS MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "BILLING COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "973-816-2259"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.