Organization Active NPI

Nova Surgical PLLC

  • Surgery Physician
  • Malta, NY
National Provider Identifier
1790608602
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NOVA SURGICAL PLLC
Practice address
2452 , US Route 9
Suite #201
Malta, NY 12020
Phone
(518) 860-6271
NPI assigned
Jul 30, 2026
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dr. Vishnudas Pai
Title
Owner
Phone
(518) 860-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2452 , US Route 9
Suite #201
Malta, NY 12020

Mailing address

2452 , US Route 9
Suite #201
Malta, NY 12020
Phone (518) 860-6271

Other identifiers 1

IdentifierTypeStateIssuer
238785OtherNYNY STATE LICENSE

National Provider Directory

National Provider Directory

Locations

2452 State Route 9
Ste 201
Malta, NY 12020

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1790608602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 , US ROUTE 9",
            "address_2": "SUITE #201",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-860-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 , US ROUTE 9",
            "address_2": "SUITE #201",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-860-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "VISHNUDAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-860-6271",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "238785",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.