Central Suffolk Surgical,PC.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

239761 Issued in NY

Legal business name

CENTRAL SUFFOLK SURGICAL,PC.

Practice address

5 Pumpkin Rd
Saint James, NY 11780-3117

Phone

(631) 686-5588

NPI assigned

Jun 5, 2012

Last updated

Jun 5, 2012By 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

Bogdan Makartchuk, MD.,DO.

Title

Director

Phone

(631) 686-5588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1629339726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PUMPKIN RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803117",
            "telephone_number": "631-686-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PUMPKIN RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803117",
            "telephone_number": "631-686-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SUFFOLK SURGICAL,PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "MAKARTCHUK",
        "authorized_official_first_name": "BOGDAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-686-5588",
        "authorized_official_credential": "MD.,DO."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "239761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Ward Cassidy, OTR/L
• James Joseph Cassin
• Lisa A Catanzaro, LCSW-R
• Christine Caulfield
• Paul Robert Cella, PA
• Marie Charlot, R.N., M.S.N.
• Michelle Chartoff
• Laura J Chiarelli, MA CCC/SLP
• Jodie Galler Collins, PT
• Complete Medical Family Care PLLC

• Surgery Physician in Saint James, NY
• Providers in Saint James, 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 Jun 5, 2012; 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.