Individual provider Active NPI

Salvatore Zavarella, DO

  • Neurological Surgery Physician
  • West Islip, NY
National Provider Identifier
1174953129
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
256093 Issued in NY
Practice address
1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939
Phone
(631) 666-6066
Fax
(631) 337-7698
NPI assigned
Nov 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 256093 NY Primary

Addresses

Primary practice location

1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939

Mailing address

1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939
Phone (833) 666-6066

Other identifiers 3

IdentifierTypeStateIssuer
335795601MedicaidTX
04141966MedicaidNY
P01497730OtherNYMEDICARE RR

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
I20150521001257 NY Practitioner - Neurosurgery 7810111093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
True North Medical of South Nassau, PCGroup PAC ID 3476095696, 2 clinicians

Practice addresses (Care Compare)

11661 State Rd 70
Lakewood Ranch, FL 34202-9416
Phone (941) 222-0321

1175 Montauk Hwy
West Islip, NY 11795-4939
Phone (631) 337-7698

Hospital & facility affiliations

  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion102
Laminectomy or laminotomy (partial removal of spine bones)36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256093NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Neuroscience Medical Consulting PLLC Current Accepting new patients
True North Medical of South Nassau, PC Neurological Surgery CurrentSince Apr 23, 2024 Accepting new patients
Brain Care Long Island PLLC Neurological Surgery Current Accepting new patients
Spinecare Long Island PLLC Neurological Surgery Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

4681 Veterans Memorial Hwy
Holbrook, NY 11741
Phone (631) 482-9977

110 E Main St
Ste 2B
Huntington, NY 11743
Phone (631) 337-7698

1175 Montauk Hwy
West Islip, NY 11795
Phone (631) 265-4485

722 Montauk Hwy
West Islip, NY 11795
Phone (631) 337-7698

1175 Montauk Hwy
Ste 6
West Islip, NY 11795
Phone (631) 422-5371

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1174953129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY STE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "833-666-6066",
            "fax_number": "631-337-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY STE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-666-6066",
            "fax_number": "631-337-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVARELLA",
        "first_name": "SALVATORE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-12",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "256093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335795601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04141966",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01497730",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.