Organization Active NPI

East Shore Surgery P.C.

  • Surgery Physician
  • Manhasset, NY
National Provider Identifier
1447448683
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EAST SHORE SURGERY P.C.
Practice address
315 E Shore Rd
Manhasset, NY 11030-2923
Phone
(516) 858-2152
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dimitri Kessaris
Title
Official
Phone
(516) 858-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

315 E Shore Rd
Manhasset, NY 11030-2923

Mailing address

315 E Shore Rd
Manhasset, NY 11030-2923
Phone (516) 858-2152

National Provider Directory

National Provider Directory

Locations

315 E Shore Rd
Manhasset, NY 11030
Phone (516) 773-6611

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1447448683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-858-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-858-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "KESSARIS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "516-858-2152"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.