DR. NICHOLAS DIVARIS NPI 1023065380

NPI Information

  • NPI: 1023065380
  • Provider Name: DR. NICHOLAS DIVARIS
  • Classification: Orthopaedic Surgery - 207XX0801X
  • Specialization: Orthopaedic Trauma
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14 TECHNOLOGY DR
    EAST SETAUKET, NY
    ZIP 11733
  • Phone: (631) 444-4233

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NPI Details

DR. Nicholas Divaris is an orthopaedic trauma orthopaedic surgery in East Setauket, NY with 31 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS:J7323)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
  • Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Placement of stabilizing device for upper end of broken thigh bone (HCPCS:27235)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

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: 11/21/2025

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