Organization Active NPI

Northeast Surgical Specialists of NJ PC

  • Surgery Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1780555060
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTHEAST SURGICAL SPECIALISTS OF NJ PC
Practice address
140 Sylvan Ave Ste 213
Englewood Cliffs, NJ 07632-2559
Phone
(718) 626-0707
Fax
(718) 545-0333
NPI assigned
Sep 17, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Panagiotis Manolas, MDNPI 1720050701
Title
Owner
Phone
(718) 626-0707

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 Primary

Addresses

Primary practice location

140 Sylvan Ave Ste 213
Englewood Cliffs, NJ 07632-2559

Mailing address

40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (718) 626-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223004607 NJ Part B Supplier - Clinic/Group Practice 4082109350 Receives reassigned benefits from 8 practitioners
Practice locations: Englewood Cliffs, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1780555060",
    "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": "718-626-0707",
            "fax_number": "718-545-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SYLVAN AVE STE 213",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322559",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SURGICAL SPECIALISTS OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "MANOLAS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-626-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.