SOUTH NASSAU PHYSICIANS PC
NPI 1104200641
Surgery in Valley Stream, NY

Q: What is South Nassau Physicians PC's NPI number?

The NPI number for South Nassau Physicians PC is 1104200641. It was assigned to this organization in the NPPES registry on July 15, 2015.

Q: What is South Nassau Physicians PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 15, 2015

1 S CENTRAL AVE, VALLEY STREAM, NY 11580(516) 632-3350 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Nassau Physicians Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH NASSAU PHYSICIANS PC (NPI 1104200641) is a healthcare organization registered as a surgery in Valley Stream, New York and active in the NPI registry since July 2015. The organization lists Mark Bogen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104200641

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSOUTH NASSAU PHYSICIANS PC

Location Address1 S CENTRAL AVEValley Stream, NY 11580-5443

Mailing Address1 Healthy WayOceanside, NY 11572-1551

Phone(516) 632-3350

Organization SubpartNo

Authorized OfficialMark BogenCfo · (516) 632-3965

Enumeration DateJuly 15, 2015

✔ NPI 1104200641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 S CENTRAL AVE, Valley Stream, NY 11580

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH NASSAU OBSTETRICS & GYNECOLOGY, PC

Obstetrics & Gynecology (Gynecology)