NPIMap

Organization Active NPI

Metropolitan Lithotriptor Associates, PC

  • Urology Physician
  • Bethpage, NY
National Provider Identifier
1184916140
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
METROPOLITAN LITHOTRIPTOR ASSOCIATES, PC
Practice address
480 Hicksville Rd
Bethpage, NY 11714-3415
Phone
(646) 742-8813
Fax
(212) 481-8162
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Mrs. Patricia Sablesak
Title
VP of Operations & Clinical Quality
Phone
(646) 742-8801

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Ambulatory Surgical Clinic/Center 261QA1903X
Lithotripsy Clinic/Center 261QL0400X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

480 Hicksville Rd
Bethpage, NY 11714-3415

Mailing address

9825 Spectrum Dr BLDG 3
Austin, TX 78717-4930
Phone (877) 465-4845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1184916140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 SPECTRUM DR BLDG 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174930",
            "telephone_number": "877-465-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143415",
            "telephone_number": "646-742-8813",
            "fax_number": "212-481-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN LITHOTRIPTOR ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "SABLESAK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "VP OF OPERATIONS & CLINICAL QUALITY",
        "authorized_official_telephone_number": "646-742-8801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.