Organization Active NPI

Related Surgical Specialties, PC

  • Surgery Physician
  • New York, NY
National Provider Identifier
1780308106
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20230914001785 NY Part B Supplier - Clinic/Group Practice 7810351459 Receives reassigned benefits from 28 practitioners
Practice locations: New York, NY; Oyster Bay, NY; Brooklyn, NY; Plattsburgh, NY; Staten Island, NY; Woodside, NY; Armonk, NY; Astoria, NY…

National Provider Directory

National Provider Directory

Locations

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.

View all 29

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": []
}

Other providers in New York, NY

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.

Verify at the official NPI Registry.