Active NPI
Partners in Surgical Services
- Surgical Physician Assistant
- Riverhead, NY
National Provider Identifier
1477156958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- PARTNERS IN SURGICAL SERVICES
- Practice address
- 1300 Roanoke Ave
Riverhead, NY 11901-2031 - Phone
- (516) 625-1014
- Fax
- (516) 414-4011
- NPI assigned
- Nov 18, 2020
- Last updated
- Nov 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph M Sharkey, PA
- Title
- Authorized Official
- Phone
- (516) 625-1014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
1300 Roanoke Ave
Riverhead, NY 11901-2031
Mailing address
112 Madison Ave
New Hyde Park, NY 11040-5229
Phone (516) 625-1014
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605657600000",
"number": "1477156958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MADISON AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110405229",
"telephone_number": "516-625-1014",
"fax_number": "516-414-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ROANOKE AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012031",
"telephone_number": "516-625-1014",
"fax_number": "516-414-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS IN SURGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A",
"authorized_official_last_name": "SHARKEY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "516-625-1014",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.