Active NPI
Surgical Specialists of New Jersey New York PC
- Surgery Physician
- Oyster Bay Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL SPECIALISTS OF NEW JERSEY NEW YORK PC
- Practice address
- 40 Berry Hill Road
Oyster Bay Cove, NY 11771 - Phone
- (917) 250-4958
- Fax
- (718) 545-0333
- NPI assigned
- May 24, 2023
- Last updated
- May 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Panagiotis A Manolas, M.D.
- Title
- President
- Phone
- (917) 250-4958
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
40 Berry Hill Road
Oyster Bay Cove, NY 11771
Mailing address
40 Berry Hill Road
Oyster Bay Cove, NY 11771
Phone (917) 250-4958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Surgical Specialist of New Jersey New York PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Englewood, NJ
- NPI 1629538962
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Surgery Physician
- Hackensack, NJ
- NPI 1619318482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1245922574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BERRY HILL ROAD",
"city": "OYSTER BAY COVE",
"state": "NY",
"postal_code": "11771",
"telephone_number": "917-250-4958",
"fax_number": "718-545-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BERRY HILL ROAD",
"city": "OYSTER BAY COVE",
"state": "NY",
"postal_code": "11771",
"telephone_number": "917-250-4958",
"fax_number": "718-545-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALISTS OF NEW JERSEY NEW YORK PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "MANOLAS",
"authorized_official_first_name": "PANAGIOTIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-250-4958",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.