Active NPI
Roy George, MD
- Surgical Physician Assistant
- Manhasset, NY
National Provider Identifier
1851446504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 9509
- Practice address
- Nsuh Cardiovascular and Thoracic Surgery
300 Community Drive
Manhasset, NY 11030 - Phone
- (516) 562-4970
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9509 | NY | Primary |
Addresses
Primary practice location
Nsuh Cardiovascular and Thoracic Surgery
300 Community Drive
Manhasset, NY 11030
Mailing address
Nsuh Cardiovascular and Thoracic Surgery
300 Community Drive
Manhasset, NY 11030
Phone (516) 562-4970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009509 | NY | MD | Physical Therapy Assistant |
| 9509 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851446504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NSUH CARDIOVASCULAR AND THORACIC SURGERY",
"address_2": "300 COMMUNITY DRIVE",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-562-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NSUH CARDIOVASCULAR AND THORACIC SURGERY",
"address_2": "300 COMMUNITY DRIVE",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-562-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "ROY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "9509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.