Long Island Laparoscopic Surgery,P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

221256 Issued in NY

Legal business name

LONG ISLAND LAPAROSCOPIC SURGERY,P.L.L.C.

Practice address

625 Belle Terre Road
Suite 202
Port Jefferson, NY 11777-2316

Phone

(631) 689-0220

Fax

(631) 686-7626

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Arif Ahmad, M.D, FRCSNPI 1659313690

Title

Medical Doctor

Phone

(631) 689-0220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Landry Kalombo Umbu, MD

  • Surgery Physician
  • Port Arthur, TX
  • NPI 1861029563

  NY, Single Specialty

  Medicare reassignment Care Compare group NPD
• Arif Ahmad, MD

  • Surgery Physician
  • Port Jefferson, NY
  • NPI 1659313690
  Care Compare group Authorized official
• Ashish Agarwala, D.O

  • Surgery Physician
  • Port Jefferson, NY
  • NPI 1982848156
  Care Compare group
• Farhad Anoosh, MD

  • Surgery Physician
  • Woodbury, NY
  • NPI 1558501668
  Care Compare group
• Antonio Lam, DO

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
  • NPI 1780172965
  Care Compare group
• Ashley Dora Modica, M.D.

  • Surgery Physician
  • Smithtown, NY
  • NPI 1588000897
  Care Compare group

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1881997724",
    "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",
            "fax_number": "631-686-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BELLE TERRE ROAD",
            "address_2": "SUITE 202",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772316",
            "telephone_number": "631-689-0220",
            "fax_number": "631-686-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND LAPAROSCOPIC SURGERY,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, FRCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "221256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Lombardo
• Sonia Martinez London, L.AC.
• Long Island Bone and Joint
• Long Island Comfort Shoes and Pedorthic Services
• Long Island Eye Physicians & Surgeons,PC
• Long Island Pediatric Ophthalmology & Strabismus, P.C.
• Long Island Physician Affiliates, PLLC
• Long Island Physician Associates, PLLC
• Joyce Longo
• Mark Lowenheim, M.D.

• All providers in Port Jefferson, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.