Great South Bay Surgical Associates and Vascular Lab, LLP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GREAT SOUTH BAY SURGICAL ASSOCIATES AND VASCULAR LAB, LLP

Practice address

580 Union Blvd
West Islip, NY 11795-3105

Phone

(631) 321-6801

Fax

(631) 321-3869

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Denise M. Bello

Title

Office Manager

Phone

(631) 321-6801

Specialties & licenses 4

Addresses

Practitioners 1

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

• John F Gallagher, MD

  • Vascular Surgery Physician
  • West Islip, NY
  • NPI 1740201508
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1891832572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953105",
            "telephone_number": "631-321-6801",
            "fax_number": "631-321-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953105",
            "telephone_number": "631-321-6801",
            "fax_number": "631-321-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SOUTH BAY SURGICAL ASSOCIATES AND VASCULAR LAB, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-321-6801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Goodwin, OTR/L
• Alison Gordon, DO
• Elizabeth Victoria Gorecki
• Anna Gorski-Piaszczyk, MD
• Samuel Gorstein, M.D.
• Anne Elizabeth Green, MD
• Judyth Ellen Greenbaum, M.S.
• Stuart Neil Greenberg, M.D.
• Bonnie Jean Greene, RPA-C
• Kerri Greenrose, FNP-C

• Surgery Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.