NPIMap

Organization Active NPI

Colon & Rectal Surgical Practice of Nassau, PLLC

  • Colon & Rectal Surgery Physician
  • Garden City, NY
National Provider Identifier
1699073452
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
COLON & RECTAL SURGICAL PRACTICE OF NASSAU, PLLC
Practice address
1100 Franklin Ave
Ste 203
Garden City, NY 11530-3221
Phone
(516) 248-2422
Fax
(516) 248-5162
NPI assigned
Mar 3, 2011
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Dean P. Pappas, M.D.NPI 1942205901
Title
Owner
Phone
(516) 248-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

1100 Franklin Ave
Ste 203
Garden City, NY 11530-3221

Mailing address

1100 Franklin Ave
Ste 203
Garden City, NY 11530-3221
Phone (516) 248-2422

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1699073452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE",
            "address_2": "STE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303221",
            "telephone_number": "516-248-2422",
            "fax_number": "516-248-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE",
            "address_2": "STE 203",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303221",
            "telephone_number": "516-248-2422",
            "fax_number": "516-248-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGICAL PRACTICE OF NASSAU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-248-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.