NORTH SHORE SURGI-CENTER INC NPI 1841213923

NPI Information

NPI: 1841213923
Provider Name: NORTH SHORE SURGI-CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
989 W JERICHO TPKE
SMITHTOWN, NY
ZIP 11787
Phone: (631) 864-7100
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NORTH SHORE SURGI-CENTER INC is an ambulatory surgical clinic center in Smithtown, NY. NORTH SHORE SURGI-CENTER INC NPI is 1841213923. The provider is registered as an organization entity type.

The provider's business location address is:

989 W JERICHO TPKE
SMITHTOWN, NY
ZIP 11787-203
Phone: (631) 864-7100
Fax: (631) 864-7129

The provider's authorized official is Paula Anne Bruno .
The authorized official title is Billing Manager and has the following contact phone number (631) 864-6891.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 1/13/2010.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	5157204R	NEW YORK	Yes

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
1	01178321	MEDICAID	NEW YORK
2	1CZ95111	MEDICARE PIN	NEW YORK
3	Z95111	MEDICARE ID-TYPE UNSPECIFIED	NEW 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: 4/28/2024

NPI Synchronization or Removal

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