Organization Active NPI

New York Robotic and Laparoscopic Surgery PC

  • Surgery Physician
  • Port Jefferson, NY
National Provider Identifier
1750090056
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NEW YORK ROBOTIC AND LAPAROSCOPIC SURGERY PC
Practice address
625 Belle Terre Rd Ste 202
Port Jefferson, NY 11777-2318
Phone
(631) 689-0220
NPI assigned
Nov 16, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Arif Ahmad, MDNPI 1659313690
Title
Owner
Phone
(631) 689-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

625 Belle Terre Rd Ste 202
Port Jefferson, NY 11777-2318

Mailing address

625 Belle Terre Rd Ste 202
Port Jefferson, NY 11777-2318

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1750090056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BELLE TERRE RD STE 202",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BELLE TERRE RD STE 202",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772318",
            "telephone_number": "631-689-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ROBOTIC AND LAPAROSCOPIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ARIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-689-0220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.