Long Island Vascular & Surgical, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

LONG ISLAND VASCULAR & SURGICAL, PC

Practice address

585 Stewart Ave
Suite LL-16
Garden City, NY 11530-4783

Phone

(516) 227-2721

Fax

(516) 227-0564

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Xenophon P Xenophontos, M.D.NPI 1790735991

Title

President

Phone

(516) 227-2721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xenophon Paraseka Xenophontos, M.D.

  • Vascular Surgery Physician
  • Garden City, NY
  • NPI 1790735991
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306896410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE",
            "address_2": "SUITE LL-16",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304783",
            "telephone_number": "516-227-2721",
            "fax_number": "516-227-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE",
            "address_2": "SUITE LL-16",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304783",
            "telephone_number": "516-227-2721",
            "fax_number": "516-227-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND VASCULAR & SURGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XENOPHONTOS",
        "authorized_official_first_name": "XENOPHON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-227-2721",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Primary Medical Care/Dba Village Pediatrics
• Long Island Professional Medical Services PC
• Long Island Psychological Services Company (The Center For Psychotherapy)
• Long Island Psychological Services PLLC (Center For Psychotherapy)
• Long Island TMS Therapy Inc
• Long Island Vein Care & Surgery PLLC
• Jennifer A Loose, OTR/L
• Salvatore A Lopresti, M.D.
• Thomas Gennaro Lorenzo, LPT
• Meghan Lottes

• Vascular Surgery Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.