SJ Surgery of Ny, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SJ SURGERY OF NY, PC

Practice address

1111 Montauk Hwy Ste 2-2
West Islip, NY 11795-4910

Phone

(917) 568-8540

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sang H Jho, MDNPI 1053555961

Title

President

Phone

(917) 568-8540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Sang H Jho, MD

  • Surgery Physician
  • West Islip, NY
  • NPI 1053555961
  Medicare reassignment NPD Authorized official
• Sumeet K Anand, MD

  • Internal Medicine Physician
  • West Islip, NY
  • NPI 1902896764
  NPD (past)
• Jessica L Chappina, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Bayside, NY
  • NPI 1699151084
  NPD (past)
• Rose Nkoli Ezeani, NP

  • Adult Health Nurse Practitioner
  • West Islip, NY
  • NPI 1609921568
  NPD (past)
• Kathleen Galfano, LMSW

  • Social Worker
  • Bay Shore, NY
  • NPI 1962919837
  NPD (past)
• Steven Ryan Surico, MS, RD, CDN

  • Registered Dietitian
  • Holbrook, NY
  • NPI 1184332389

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584230400000",
    "number": "1467087627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117870512",
            "telephone_number": "917-568-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY STE 2-2",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "917-568-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ SURGERY OF NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A",
        "authorized_official_last_name": "JHO",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-568-8540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Singer, PA-C
• Stephanie Singer
• Sandhaya Medini Singh, MBBS
• David Siskind, MD
• Carolyn Suzanne Sivco, MD
• Samantha Skow, MD
• Katie Slanec, AGNP-C
• Amy T. Slif, L.C.S.W.-R
• Craig Smestad
• Smile Big Dental PLLC

• Surgery Physician in West Islip, NY
• Providers in West Islip, 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 15, 2020; 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.