Individual provider Active NPI

Nicholas A Sgaglione, MD

  • Orthopaedic Surgery Physician
  • Great Neck, NY
National Provider Identifier
1639126345
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
158810 Issued in NY
Practice address
611 Northern Blvd
Ste 200
Great Neck, NY 11021-5207
Phone
(516) 723-2663
Fax
(516) 325-7190
NPI assigned
May 28, 2006
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 158810 NY Primary

Addresses

Primary practice location

611 Northern Blvd
Ste 200
Great Neck, NY 11021-5207

Mailing address

PO Box 5200
Manhasset, NY 11030-5200
Phone (516) 723-2663

Other identifiers 2

IdentifierTypeStateIssuer
200008044OtherNYMEDICARE ID
AS1134OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109001239 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5799748935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Icahn School of Medicine at Mount Sinai, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Associates, LLCGroup PAC ID 0446168694, shared by 3 NPIs, 17 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

200 Montgomery Hwy
Suite 150
Vestavia Hills, AL 35216-1898
Phone (205) 822-0067

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

611 Northern Blvd
Great Neck, NY 11021-5207
Phone (718) 683-3766

611 Northern Blvd
Suite 200
Great Neck, NY 11021-5201
Phone (516) 723-2663

611 Northern Boulevard
Suite 250
Great Neck, NY 11021-5207
Phone (516) 233-3456

865 Northern Boulevard
Suite 302
Great Neck, NY 11021-5207
Phone (516) 570-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Village Ambulatory Surgery Center, LLC PastSince Aug 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicholassgaglione@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1639126345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5200",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110305200",
            "telephone_number": "516-723-2663",
            "fax_number": "516-325-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NORTHERN BLVD",
            "address_2": "STE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215207",
            "telephone_number": "516-723-2663",
            "fax_number": "516-325-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGAGLIONE",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "158810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "200008044",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS1134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.