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DR. NICHOLAS DIVARIS NPI 1023065380


NPI Information

NPI: 1023065380
Provider Name: DR. NICHOLAS DIVARIS
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Individual

Specialization: Orthopaedic Trauma

PECOS Registration: Yes

Address:
14 TECHNOLOGY DR
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 444-4233
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DR. Nicholas Divaris is an orthopaedic trauma orthopaedic surgery in East Setauket, NY with 29 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. DR. Nicholas Divaris NPI is 1023065380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

14 TECHNOLOGY DR
EAST SETAUKET, NY
ZIP 11733-472
Phone: (631) 444-4233

The NPI 1023065380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 5/30/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0801XOrthopaedic SurgeryOrthopaedic Trauma207388NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1421G01MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
202176736MEDICAIDNEW YORK
3421G01OTHERNEW YORKEMPIRE BC.BS
47470302OTHERNEW YORKAETNA
5H50112MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.