Advanced Colon and Rectal Surgery, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2441325 Issued in NY

Legal business name

ADVANCED COLON AND RECTAL SURGERY, PC

Practice address

510 Broadhollow Rd
Suite 307
Melville, NY 11747-3671

Phone

(631) 756-2888

Fax

(631) 756-2880

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bradley G Bute, MD

Title

President

Phone

(631) 756-2888

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1447498209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW RD",
            "address_2": "SUITE 307",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473671",
            "telephone_number": "631-756-2888",
            "fax_number": "631-756-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW RD",
            "address_2": "SUITE 307",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473671",
            "telephone_number": "631-756-2888",
            "fax_number": "631-756-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COLON AND RECTAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "BUTE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-756-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "2441325",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "2441325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Adler, SLP
• Elisheva Adler
• Lynn K Adler
• Adults & Children W/ Learning & DD
• Advanced Colon and Rectal Surgery LLC
• Advantage Massage Therapy, Chiropractic & Acupuncture, PLLC (Long Island Functional Therapy)
• Advocare Inc
• Advocare, Inc.
• Carla Estefany Agama I
• Carissa Lynn Agnello

• Medical Specialty Clinic/Center in Melville, NY
• Providers in Melville, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.