Active NPI
Related Surgical Specialties, PC
- Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- RELATED SURGICAL SPECIALTIES, PC
- Practice address
- 1060 Fifth Avenue, Suite 1B
New York, NY 10128 - Phone
- (917) 250-4958
- Fax
- (718) 545-0333
- NPI assigned
- Sep 29, 2022
- Last updated
- Nov 21, 2025
- 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
- Paul A Tsoukalas
- Title
- Exec Director
- Phone
- (917) 250-4958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
1060 Fifth Avenue, Suite 1B
New York, NY 10128
Mailing address
40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (917) 250-4958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
630 59th St
Brooklyn, NY 11220
Phone (718) 567-0730
161 Madison Ave
Rm 4NW
New York, NY 10016
Phone (212) 452-1370
629 Park Ave
Fl 1
New York, NY 10065
Phone (212) 644-4484
79 Hammond Ln
Ste 12
Plattsburgh, NY 12901
Phone (518) 566-7930
6110 Queens Blvd
Ste B
Woodside, NY 11377
Phone (917) 626-6457
Practitioners & affiliated clinicians
Practitioners 29
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.
-
- Surgery Physician
- Astoria, NY
- NPI 1720050701
-
- Obstetrics & Gynecology Physician
- Forest Hills, NY
- NPI 1073553574
-
- Obstetrics & Gynecology Physician
- Forest Hills, NY
- NPI 1063504728
-
- Surgery of the Hand (Plastic Surgery) Physician
- Long Island City, NY
- NPI 1174551410
-
- Surgery Physician
- New York, NY
- NPI 1073804316
-
- Surgery Physician
- New York, NY
- NPI 1215298872
-
- Surgery Physician
- New York, NY
- NPI 1861992513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1780308106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BERRY HILL RD",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117713515",
"telephone_number": "917-250-4958",
"fax_number": "718-545-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 FIFTH AVENUE, SUITE 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "917-250-4958",
"fax_number": "718-545-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELATED SURGICAL SPECIALTIES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-29",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "TSOUKALAS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXEC DIRECTOR",
"authorized_official_telephone_number": "917-250-4958"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.