Mskcc Surgery Group
Organization Active NPI Surgical Oncology Physician · New York, NY
NPI 1699766261 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1699766261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Oncology Physician 2086X0206X
- Legal business name
- MSKCC SURGERY GROUP
- Practice address
- 1275 York Ave
New York, NY 10021-6007 - Phone
- (646) 227-3813
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Salvatore M Andreozzi
- Title
- Vice President
- Phone
- (646) 227-3751
Practitioners 681
-
Prasad S Adusumilli, M.D.
-
Lauren Ahern, PA-C
-
Divya Ajay, M.D.
-
Lisa R Allen, MD
-
Charlotte Eielson Ariyan, MD, PHD
-
Kathy Azevedo, WHNP-BC
-
Manjit S Bains, MD
-
Vinod Balachandran, M.D.
-
Andrea V Barrio, M.D.
-
Meredith Bartelstein, M.D.
-
Ori Barzilai, M.D.
-
Mark H Bilsky, MD
-
Patrick J Boland, MD
-
Matthew Joseph Bott, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040320000446 | NY | Part B Supplier - Clinic/Group Practice | 0345131405 |
Receives reassigned benefits from 662 practitioners Practice locations: West Harrison, NY; Uniondale, NY; New York, NY; Hauppauge, NY; Commack, NY |
| O20240506001369 | NJ | Part B Supplier - Clinic/Group Practice | 0345131405 |
Receives reassigned benefits from 3 practitioners Practice locations: Basking Ridge, NJ; Middletown, NJ; Montvale, NJ |
National Provider Directory
Locations
1275 York Ave
#232
New York, NY 10065
Phone (212) 207-3275
1275 York Ave
Ste 232
New York, NY 10065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | |||
| Surgical Oncology Physician |
2086X0206X | Yes |
Addresses
Primary practice location
1275 York Ave
New York, NY 10021-6007
Mailing address
633 3Rd Ave
Box 3
New York, NY 10017-6706
Other providers in New York, NY
- Mskcc Clinical Practice Plan
- Mskcc Clinical Practice Plan
- Mskcc Clinical Practice Plan
- Mskcc Integrative Medicine Group
- Mskcc Radiology Group
- MSP Psychology PLLC
- MSQ Wellness of NJ LLC
- MSSM-Optical Shop
- Mt Sinai Hospital
- Mt Sinai Medical Center
All providers in New York, NY · Surgical Oncology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.