North Country Colorectal Surgery, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

206665 Issued in NY

Legal business name

NORTH COUNTRY COLORECTAL SURGERY, PC

Practice address

41 N Country Rd
Port Jefferson, NY 11777-2160

Phone

(631) 331-4672

Fax

(631) 331-4239

NPI assigned

Oct 11, 2006

Last updated

Mar 14, 2008By 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. Maria A Basile, M.D.NPI 1295736239

Title

Owner

Phone

(631) 331-4672

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Maria Aro Basile, M.D.

  • Colon & Rectal Surgery Physician
  • Port Jefferson, NY
  • NPI 1295736239
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1417045519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772160",
            "telephone_number": "631-331-4672",
            "fax_number": "631-331-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772160",
            "telephone_number": "631-331-4672",
            "fax_number": "631-331-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY COLORECTAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-331-4672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "206665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nieves, PT
• Kenneth William Nissen, ANP
• Paul No
• Sharuk Noor Ali
• North Country Chiropractic, PC (North Country Chiropractic and Massage)
• North Country Surgical,P.C.
• North Shore Endodontic Solutions
• North Shore Hematology Oncology Associates PC (Ny Cancer & Blood Specialists)
• North Shore Procedures, LLC
• North Shore Pulmonary Assoc LLP

• Surgery Physician in Port Jefferson, NY
• Providers in Port Jefferson, 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 Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.