Jefferson Medical Surgery PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

191667 Issued in NY

Legal business name

JEFFERSON MEDICAL SURGERY PC

Practice address

200 E Main St Ste 1E
Smithtown, NY 11787-2812

Phone

(631) 265-4567

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Nicholas Zeniou, MDNPI 1831149988

Title

President/Physician

Phone

(631) 706-0018

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

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.

• Andrew N Zeniou, MD

  • Surgery Physician
  • East Setauket, NY
  • NPI 1831149988
  Medicare reassignment NPD Authorized official
• Theodore Blaszczyk, M.D.

  • Obstetrics & Gynecology Physician
  • Smithtown, NY
  • NPI 1962588640
  NPD (past)
• Courtney Jill Breslin, NP

  • Adult Health Nurse Practitioner
  • Westbury, NY
  • NPI 1649727603
  NPD (past)
• Polly Kanganis, M.D.

  • Obstetrics & Gynecology Physician
  • Smithtown, NY
  • NPI 1477644698
  NPD (past)
• Nicholas John Kleopoulos M.D., MD

  • Obstetrics & Gynecology Physician
  • Smithtown, NY
  • NPI 1730248659
  NPD (past)

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1306127030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N BELLE MEAD RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333524",
            "telephone_number": "631-706-0018",
            "fax_number": "631-706-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE 1E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872812",
            "telephone_number": "631-265-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON MEDICAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "ZENIOU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "631-706-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "191667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JC Beginnings Inc (Senior Helpers of Smithtown)
• JD RX Inc (Townline Drug & Surgical)
• Grace Jean Baptiste
• Erica Jean-Michel
• Jeanne G. Halpern-Lewis, LCSW. PC
• Jeannell Jefferson, LPN
• Emma Jehle, MS LBA BCBA
• Leanna Rose Jenkins, MA
• Merissa Nicole Jennings, LCSW
• Leanna Marie Jerolimov

• Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.

Verify at the official NPI Registry.