Long Island Bariatric PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

234672-1 Issued in NY

Legal business name

LONG ISLAND BARIATRIC PLLC

Practice address

715 Roanoke Ave
Riverhead, NY 11901-2729

Phone

(631) 963-4750

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 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

Paayal P Mehta, M.D.NPI 1114951613

Title

Sole Member

Phone

(631) 356-3125

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paayal P Mehta, MD

  • Surgery Physician
  • Riverhead, NY
  • NPI 1114951613
  Authorized official Same address or phone

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1699045468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 OLD SCHOOLHOUSE RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493069",
            "telephone_number": "631-356-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012729",
            "telephone_number": "631-963-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND BARIATRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PAAYAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "631-356-3125",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "234672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Loeber, PA-C
• Jayanthi Loganathan, M.D
• Christine A Loiacono, RN
• Leeann Lomanto
• Carolyn Anne London, OPTICIAN
• Long Island Select Healthcare, Inc. (LISH, Inc.)
• Long Island Select Healthcare, Inc. (LISH, Inc.)
• Long Island Vitreo Retinal Consultants
• Salvatore Lotardo, DDS
• Camilo Lourido, LMT

• Surgery Physician in Riverhead, NY
• Providers in Riverhead, 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 Jan 10, 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.