Active NPI
Advanced Laparoscopic Bariatric and General Surgery
- Surgery Physician
- Port Jefferson, NY
National Provider Identifier
1780983395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2496301
- Legal business name
- ADVANCED LAPAROSCOPIC BARIATRIC AND GENERAL SURGERY
- Practice address
- 625 Belle Terre Rd
Suite 202
Port Jefferson, NY 11777-2316 - Phone
- (631) 689-0220
- NPI assigned
- Mar 22, 2011
- Last updated
- Mar 22, 2011
- 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
- Arif Ahmad, MD
- Title
- Medical Doctor
- Phone
- (631) 689-0220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2496301 | NY | Primary |
Addresses
Primary practice location
625 Belle Terre Rd
Suite 202
Port Jefferson, NY 11777-2316
Mailing address
625 Belle Terre Rd
Suite 202
Port Jefferson, NY 11777-2316
Phone (631) 689-0220
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Port Jefferson, NY
- NPI 1659313690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1780983395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 BELLE TERRE RD",
"address_2": "SUITE 202",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772316",
"telephone_number": "631-689-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 BELLE TERRE RD",
"address_2": "SUITE 202",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772316",
"telephone_number": "631-689-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED LAPAROSCOPIC BARIATRIC AND GENERAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "ARIF",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "631-689-0220",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "2496301",
"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 Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.