NPIMap

Individual provider Active NPI

Chava Blivaiss, MD

  • Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1790218345
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
315872-01 Issued in NY
Practice address
2000 N Village Ave Ste 211
Rockville Centre, NY 11570-1001
Phone
(516) 900-7922
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 315872-01 NY Primary

Addresses

Primary practice location

2000 N Village Ave Ste 211
Rockville Centre, NY 11570-1001

Mailing address

2000 N Village Ave Ste 211
Rockville Centre, NY 11570-1001

Other practice location 1

1 Healthy Way
South Nassau Communities Hospital
Oceanside, NY 11572-1551
Phone (224) 688-2989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002643 NY Practitioner - General Surgery 8527318120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Surgical PLLCGroup PAC ID 8628305786, 9 clinicians
Acute Care Medical Services PLLCGroup PAC ID 8820477250, 8 clinicians

Practice addresses (Care Compare)

2000 N Village Ave
Suite 211
Rockville Centre, NY 11570-1001
Phone (516) 900-7922

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
315872-01NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Surgical PLLC Surgery CurrentSince Jun 19, 2023 Accepting new patients
Acute Care Medical Services PLLC Surgery CurrentSince Jun 19, 2023 Accepting new patients
Mercy Medical Center Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

2000 N Village Ave
Ste 211
Rockville Ctr, NY 11570
Phone (516) 764-1303

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1790218345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE STE 211",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE STE 211",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701001",
            "telephone_number": "516-900-7922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Healthy Way",
            "address_2": "South Nassau Communities Hospital",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115721551",
            "country_code": "US",
            "telephone_number": "224-688-2989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLIVAISS",
        "first_name": "CHAVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "315872-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.