New York Advanced Laparoscopic and Bariatric Surgery PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

262892 Issued in NY

Legal business name

NEW YORK ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY PC

Practice address

150 Brighton 11TH St
Brooklyn, NY 11235-5327

Phone

(718) 616-1622

Fax

(347) 587-6861

NPI assigned

Dec 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sergey Terushkin, M.D.NPI 1245424506

Title

President

Phone

(718) 616-1622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergey Terushkin, M.D.

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1245424506

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Alexander Abdurakhmanov, MD

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1538556196
  Medicare reassignment Care Compare group NPD
• Wei Sun, M.D.

  • Anatomic Pathology Physician
  • New York, NY
  • NPI 1215921416
  Medicare reassignment NPD

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

{
    "created_epoch": "1324684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1578832267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BEEKMAN ST",
            "address_2": "APT 12E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRIGHTON 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355327",
            "telephone_number": "718-616-1622",
            "fax_number": "347-587-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "TERUSHKIN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-616-1622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "262892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.