Metro CT Surgical PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

METRO CT SURGICAL PC

Practice address

2365 Boston Post Rd Ste 103
Larchmont, NY 10538-3554

Phone

(646) 483-0934

Fax

(866) 391-1540

NPI assigned

Jan 2, 2021

Last updated

Jan 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margie Woo Nover

Title

Practice Administrator

Phone

(646) 483-0934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1578151973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 VESTRY ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131767",
            "telephone_number": "917-363-5454",
            "fax_number": "866-391-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD STE 103",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383554",
            "telephone_number": "646-483-0934",
            "fax_number": "866-391-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Journal Square Plz Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073064004",
            "country_code": "US",
            "telephone_number": "646-483-0934",
            "fax_number": "866-391-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO CT SURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "WOO NOVER",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "646-483-0934"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison McIntyre, BCBA
• Elizabeth R. McKenna, RN, LCSW-R
• Medcap Glam
• Eric M Mendelsohn, PH.D.
• Meryl Mendelson, M.D.
• Beth Y Metzendorf, LCSW
• Kirsten Elaine Meyer, MS, RDN
• Taylor Mezini, PHARMD
• Michael Alexander Optical Boutique Corp
• Marciano I Miclat Jr., M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.