Active NPI
Dimitrios Christoforou, M.D.
- Orthopaedic Hand Surgery Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 250798
- Practice address
- 6 Technology Dr Ste 100
East Setauket, NY 11733-4079 - Phone
- (631) 689-6698
- Fax
- (631) 751-5548
- NPI assigned
- May 26, 2008
- Last updated
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 250798 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 250798 | NY | Primary |
Addresses
Primary practice location
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Mailing address
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Phone (631) 689-6698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03467190 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- New York University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Technology Dr
Suite 100
East Setauket, NY 11733-4079
Phone (631) 689-6698
Hospital & facility affiliations
- St Catherine of Siena Hospital
- St Charles Hospital
- John T Mather Memorial Hospital of Port Jefferson
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 142 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250798 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| Precision SC, LLC | Past | Accepting new patients |
Locations
2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463
500 Commack Rd
Unit 150
Commack, NY 11725
Phone (631) 371-8034
28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710
6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685
6144 Route 25A
Ste 5
Wading River, NY 11792
60 Fleets Point Dr
Ste 1
West Babylon, NY 11704
Phone (631) 321-0033
Interoperability endpoints
- dimitrioschristoforou@oali.ssdirect.aprima.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- East Setauket, NY
- NPI 1225593809
-
- Durable Medical Equipment & Medical Supplies
- Centereach, NY
- NPI 1235943572
-
dba PrecisionCare Surgery Center
- Ambulatory Surgical Clinic/Center
- East Setauket, NY
- NPI 1679108914
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1467610675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOFOROU",
"first_name": "DIMITRIOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-26",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "250798",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NY",
"license": "250798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03467190",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
- Cha Chiang, RN
- Jennifer Chimienti, MS, ATC
- Jennifer Hearhan Choi, DO
- Florence Christie, N.P.
- Christina Stern Nurse Practitioner in Psychiatry P.C.
- Emanuel Demetrios Chryssos, M.D.
- Cindi a. Prentiss, PT.,PC. (Physical Therapy & Beyond)
- Cindi Prentiss PT PC (Physical Therapy & Beyond)
- Joseph S Cirrone, MD
- Kayla Mary Clark
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.