Active NPI
Nicolas C Lansigan Jr., MD
- Surgery Physician
- Staten Island, NY
National Provider Identifier
1740285238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 113543
- Practice address
- 1366 Victory Blvd
Richmond Surgical Associates PLLC
Staten Island, NY 10301-3907 - Phone
- (718) 442-4777
- Fax
- (718) 273-6635
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 113543 | NY | Primary |
Addresses
Primary practice location
1366 Victory Blvd
Richmond Surgical Associates PLLC
Staten Island, NY 10301-3907
Mailing address
1366 Victory Blvd
Richmond Surgical Associates PLLC
Staten Island, NY 10301-3907
Phone (718) 442-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00206551 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113543 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1740285238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1366 VICTORY BLVD",
"address_2": "RICHMOND SURGICAL ASSOCIATES PLLC",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013907",
"telephone_number": "718-442-4777",
"fax_number": "718-273-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1366 VICTORY BLVD",
"address_2": "RICHMOND SURGICAL ASSOCIATES PLLC",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013907",
"telephone_number": "718-442-4777",
"fax_number": "718-273-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANSIGAN",
"first_name": "NICOLAS",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "113543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00206551",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.