Cross Bay Orthopedic Surgery PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CROSS BAY ORTHOPEDIC SURGERY PC

Practice address

6940 108TH St Ste PR3
Forest Hills, NY 11375-3859

Phone

(718) 690-3966

Fax

(929) 220-5608

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Peter TomaselloNPI 1174518120

Title

President

Phone

(718) 690-3966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Peter A Tomasello Jr., DO

  • Orthopaedic Surgery Physician
  • Jamestown, NY
  • NPI 1174518120
  Medicare reassignment NPD Authorized official
• Kristin Rose McDonough

  • Medical Physician Assistant
  • Hicksville, NY
  • NPI 1639741846
  NPD (past)

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1346913183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 108TH ST STE PR3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753859",
            "telephone_number": "718-690-3966",
            "fax_number": "929-220-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 108TH ST STE PR3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753859",
            "telephone_number": "718-690-3966",
            "fax_number": "929-220-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS BAY ORTHOPEDIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "TOMASELLO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-690-3966"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Crete, M.S.
• Michael C Crismali, MD
• Cristina Bunac-Cuevas
• Kerrin Rose Cropano, NP
• Rachel Crosland-Welch
• Jessenia Cruz- Garcia
• Alexandra Cruz, BACHELOR'S
• Gabriela Cruz
• Jesl Xena Rae Lizardo Cruz
• Margarita Elizabeth Cruz, LCSW

• Orthopaedic Surgery Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.