Organization Active NPI

Top Tier Medical Breast Specialist PC

  • Surgery Physician
  • Lindenhurst, NY
National Provider Identifier
1720317662
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
235438 Issued in NY
Legal business name
TOP TIER MEDICAL BREAST SPECIALIST PC
Practice address
150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598
Phone
(631) 870-8721
Fax
(631) 870-8722
NPI assigned
Dec 23, 2009
Last updated
Dec 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Ms. Patricia M Forte
Title
Director of Contracting
Phone
(631) 930-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 235438 NY Primary

Addresses

Primary practice location

150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598

Mailing address

150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598
Phone (631) 870-8721

National Provider Directory

National Provider Directory

Locations

150 Sunrise Hwy
Ste 208
Lindenhurst, NY 11757
Phone (631) 870-8721

80 Maple Ave
Fl 2
Smithtown, NY 11787
Phone (631) 870-8721

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1720317662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "208",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-870-8721",
            "fax_number": "631-870-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SUNRISE HWY",
            "address_2": "208",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-870-8721",
            "fax_number": "631-870-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP TIER MEDICAL BREAST SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "631-930-9422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "235438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.