Active NPI
North Shore Amsurgery, PC
- Plastic Surgery Physician
- Melville, NY
National Provider Identifier
1285330290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- NORTH SHORE AMSURGERY, PC
- Practice address
- 510 Broadhollow Rd Ste 100
Melville, NY 11747-3606 - Phone
- (631) 424-3600
- NPI assigned
- Feb 1, 2023
- Last updated
- Mar 28, 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
- Katie Pyne
- Title
- Office Manager
- Phone
- (631) 424-3600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
510 Broadhollow Rd Ste 100
Melville, NY 11747-3606
Mailing address
510 Broadhollow Rd Ste 100
Melville, NY 11747-3606
Phone (631) 470-0960
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679961600000",
"number": "1285330290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 BROADHOLLOW RD STE 100",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473606",
"telephone_number": "631-470-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BROADHOLLOW RD STE 100",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473606",
"telephone_number": "631-424-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE AMSURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-01",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A",
"authorized_official_last_name": "PYNE",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-424-3600"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
- Rohina Merriam Nodrat
- North American Partners in Anesthesia LLP
- North American Partners in Anesthesia, LLP
- North American Partners in Anesthesia, Pennsylvania , LLC
- North American Partners in Pain Management LLP
- North Shore Plastic Surgery P.C.
- North Star Implant Dentistry
- Elizabeth Jill Nudelman-Sarner, LMSW
- Eliza Rose Nunnelee
- Emma Grace Nuzzi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.