Organization Active NPI

Apteum LLC

  • Neurological Surgery Physician
  • Point Lookout, NY
National Provider Identifier
1346838273
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
APTEUM LLC
Practice address
110 Ocean Blvd
Point Lookout, NY 11569-0154
Phone
(516) 225-0350
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Loius Guy Cornacchia, MD
Title
Director
Phone
(516) 695-8961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

110 Ocean Blvd
Point Lookout, NY 11569-0154

Mailing address

110 Ocean Blvd
Point Lookout, NY 11569-3029
Phone (516) 695-8961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241025003587 NY Part B Supplier - Clinic/Group Practice 5395278592 Receives reassigned benefits from 1 practitioner
Practice locations: Point Lookout, NY
O20241202002026 NJ Part B Supplier - Clinic/Group Practice 5395278592 Receives reassigned benefits from 1 practitioner
Practice locations: Hasbrouck Heights, NJ

National Provider Directory

National Provider Directory

Locations

411 State Rt 17
Ste 110
Hasbrouck Heights, NJ 07604
Phone (516) 255-0350

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1346838273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OCEAN BLVD",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115693029",
            "telephone_number": "516-695-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OCEAN BLVD",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115690154",
            "telephone_number": "516-225-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APTEUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2023-12-14",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "CORNACCHIA",
        "authorized_official_first_name": "LOIUS",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-695-8961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Lookout, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.