Organization Active NPI

Saw Medical Services PC

  • Physical Medicine & Rehabilitation Physician
  • Farmingville, NY
National Provider Identifier
1922373380
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
212315 Issued in NY
Legal business name
SAW MEDICAL SERVICES PC
Practice address
400 Horseblock Rd
Suite E
Farmingville, NY 11738-1252
Phone
(631) 698-1552
Fax
(631) 698-1553
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Demetrius Leonidas Moutsiakis, M.D., M.P.H.NPI 1861717860
Title
Physician
Phone
(631) 698-1552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 212315 NY Primary

Addresses

Primary practice location

400 Horseblock Rd
Suite E
Farmingville, NY 11738-1252

Mailing address

400 Horseblock Rd
Suite E
Farmingville, NY 11738-1252
Phone (631) 698-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130926000390 NY Part B Supplier - Clinic/Group Practice 3072757319 Receives reassigned benefits from 3 practitioners
Practice locations: Farmingville, NY

National Provider Directory

National Provider Directory

Locations

400 Horseblock Rd
Ste E
Farmingville, NY 11738
Phone (631) 698-1552

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1922373380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD",
            "address_2": "SUITE E",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-698-1552",
            "fax_number": "631-698-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD",
            "address_2": "SUITE E",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-698-1552",
            "fax_number": "631-698-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAW MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "MOUTSIAKIS",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_middle_name": "LEONIDAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-698-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "212315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.