Active NPI
Top Tier Medical Breast Specialist PC
- Surgery Physician
- Lindenhurst, NY
National Provider Identifier
1720317662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 235438
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.