Individual provider Active NPI

John Nabagiez, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Staten Island, NY
National Provider Identifier
1326026998
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
213550 Issued in NY
Practice address
501 Seaview Ave
Staten Island, NY 10305-3436
Phone
(718) 226-6210
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 213550 NY Primary

Addresses

Primary practice location

501 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

1 Edgewater St
Suite 723
Staten Island, NY 10305-4900
Phone (718) 226-1013

Other identifiers 1

IdentifierTypeStateIssuer
02186221MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000217 NY Practitioner - Thoracic SurgeryPractitioner - General Surgery 9032134747 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Aug 2, 2017 Accepting new patients
Albany Medical College CurrentSince May 1, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 1, 2009 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 1, 2009 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 2, 2017 Accepting new patients

Locations

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1 Edgewater St
Ste 723
Staten Island, NY 10305

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

501 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-4700

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

Interoperability endpoints

  • Direct secure messaging: jnabagiez27704@albanymed.direct-ci.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326026998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER ST",
            "address_2": "SUITE 723",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054900",
            "telephone_number": "718-226-1013",
            "fax_number": "718-226-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABAGIEZ",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "213550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02186221",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.