Summit Thoracic Institute, LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

200213 Issued in NY

Legal business name

SUMMIT THORACIC INSTITUTE, LLC

Practice address

410 Lakeville Rd
Suite 310
New Hyde Park, NY 11042-1101

Phone

(516) 233-1952

Fax

(516) 233-1954

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Michael Kline, MDNPI 1497825830

Title

President

Phone

(516) 233-1952

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Gary Kline, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hackensack, NJ
  • NPI 1497825830

  NY

  Medicare reassignment Authorized official
• Harry S Jacob, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1346388162
  NPD (past)
• Ann Marie Rode, DO

  • Internal Medicine Physician
  • West Hempstead, NY
  • NPI 1851502686
  NPD (past)
• Roxana G. Kline, MD

  • Vascular Surgery Physician
  • Hackensack, NJ
  • NPI 1215037981
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1447431747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-233-1952",
            "fax_number": "516-233-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "SUITE 310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-233-1952",
            "fax_number": "516-233-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT THORACIC INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-233-1952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "200213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Alise Sullivan
• Jessica Sultan, N.P.
• Sumit Dharia DPM, PC
• Isiah Sadegh Sumler
• Christopher Summers, PA
• Christine Sung
• Omana Sunny
• Shima Susan Sunny, PNP
• Sunshine Psychiatric Service PC
• Avi Amit Sura, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.