Cameo Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

244114 Issued in NY

Legal business name

CAMEO SURGERY

Practice address

3750 Expressway Dr S
Islandia, NY 11749-5575

Phone

(631) 232-2636

Fax

(631) 232-2637

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Scott M Blyer, DDS, MD

Title

Doctor

Phone

(631) 232-2636

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1871888644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 EXPRESSWAY DR S",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 EXPRESSWAY DR S",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495575",
            "telephone_number": "631-232-2636",
            "fax_number": "631-232-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEO SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "BLYER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-232-2636",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "244114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Caccamese, LBA, BCBA
• Michele Holly Caccavano, ANP
• California Medtrans Network Ipa LLC
• Carolina Calvet
• Cameo Medical Servies PC
• Todd W. Campbell, M.D.
• Nancy P Campo, LMSW
• Kristen Anne Carman, PMHNP-BC
• Shirley Carmona, MD
• Velaia Carpen

• Ambulatory Surgical Clinic/Center in Islandia, NY
• Providers in Islandia, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.