Organization Active NPI

Children'S Surgical Group PC

  • Surgical Critical Care Physician
  • Westbury, NY
National Provider Identifier
1518078799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
Legal business name
CHILDREN'S SURGICAL GROUP PC
Practice address
320 Post Avenue
Suite 101
Westbury, NY 11590
Phone
(516) 997-1199
Fax
(516) 997-1229
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles Vincent Coren, MD
Title
MD
Phone
(516) 997-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0102X Primary

Addresses

Primary practice location

320 Post Avenue
Suite 101
Westbury, NY 11590

Mailing address

320 Post Avenue
Suite 101
Westbury, NY 11590
Phone (516) 997-1199

National Provider Directory

National Provider Directory

Locations

320 Post Ave
Ste 101
Westbury, NY 11590
Phone (516) 780-0668

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518078799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 POST AVENUE",
            "address_2": "SUITE 101",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-997-1199",
            "fax_number": "516-997-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POST AVENUE",
            "address_2": "SUITE 101",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-997-1199",
            "fax_number": "516-997-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COREN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-997-1199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.