Individual provider Active NPI

Garri Pasklinsky, M.D.

  • Specialist
  • West Islip, NY
National Provider Identifier
1225279805
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
256280-1 Issued in NY
Practice address
580 Union Blvd
West Islip, NY 11795-3105
Phone
(631) 321-6801
Fax
(631) 321-3869
NPI assigned
Mar 12, 2009
Last updated
May 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 256280-1 NY Primary

Addresses

Primary practice location

580 Union Blvd
West Islip, NY 11795-3105

Mailing address

36 Tern CT
Bay Shore, NY 11706-7529
Phone (347) 276-2798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110801000049 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 1052589439 Reassigns benefits to 1 organization
I20240906002797 NY Practitioner - Vascular Surgery 1052589439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1000 N Village Ave
Rockville Center, NY 11570-1000

15 Park Ave
Bay Shore, NY 11706-7381
Phone (631) 376-4564

540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2555

580 Union Blvd
West Islip, NY 11795-3105
Phone (631) 321-3801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue65
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256280-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 27, 2023 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Good Samaritan Hospital Medical CurrentSince Aug 15, 2024 Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

15 Park Ave
Bay Shore, NY 11706
Phone (631) 581-4400

15 Park Ave
Ste 200
Bay Shore, NY 11706
Phone (631) 224-8518

15 Park Ave
Ste 21
Bay Shore, NY 11706

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

580 Union Blvd
West Islip, NY 11795
Phone (631) 321-6801

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gpasklinsky22474@direct-chsli.net

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1225279805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 TERN CT",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067529",
            "telephone_number": "347-276-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953105",
            "telephone_number": "631-321-6801",
            "fax_number": "631-321-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKLINSKY",
        "first_name": "GARRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "256280-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.