Organization Active NPI

New York Spine Specialists LLP

  • Orthopaedic Surgery of the Spine Physician
  • Lake Success, NY
National Provider Identifier
1528076528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
NEW YORK SPINE SPECIALISTS LLP
Practice address
2001 Marcus Ave
Ste 170 West New York Spine Specialists LLP
Lake Success, NY 11042-1035
Phone
(516) 355-0111
Fax
(516) 355-5457
NPI assigned
Aug 4, 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
Mr. Sebastian Lattuga, MD FACOS
Title
MD Owner
Phone
(516) 355-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

2001 Marcus Ave
Ste 170 West New York Spine Specialists LLP
Lake Success, NY 11042-1035

Mailing address

2001 Marcus Ave
Ste 170 West New York Spine Specialists LLP
Lake Success, NY 11042-1035
Phone (516) 355-0111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528076528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STE 170 WEST NEW YORK SPINE SPECIALISTS LLP",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421035",
            "telephone_number": "516-355-0111",
            "fax_number": "516-355-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "STE 170 WEST NEW YORK SPINE SPECIALISTS LLP",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421035",
            "telephone_number": "516-355-0111",
            "fax_number": "516-355-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK SPINE SPECIALISTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATTUGA",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "516-355-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD FACOS"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, 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.