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JEFFERSON MEDICAL SURGERY PC
NPI 1306127030
Surgery in Smithtown, NY

Active since September 08, 2011
200 E MAIN ST STE 1E, SMITHTOWN, NY 11787(631) 265-4567 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jefferson Medical Surgery Pc NPPES

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

JEFFERSON MEDICAL SURGERY PC (NPI 1306127030) is a healthcare organization registered as a surgery in Smithtown, New York and active in the NPI registry since September 2011. The organization lists Andrew Nicholas Zeniou, President/physician, as its authorized official.

NPPES Registry Identity

NPI1306127030
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJEFFERSON MEDICAL SURGERY PC
Location Address200 E MAIN ST STE 1ESmithtown, NY 11787-2812
Mailing Address226 N Belle Mead RdEast Setauket, NY 11733-3524 · (631) 706-0018 · Fax (631) 706-0024
Phone(631) 265-4567
Organization SubpartNo
Authorized OfficialAndrew Nicholas ZeniouPresident/physician · (631) 706-0018
Enumeration DateSeptember 8, 2011
✔ NPI 1306127030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 191667
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.
200 E MAIN ST STE 1E, Smithtown, NY 11787
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Other Identifiers 1

Medicare UPING29507NY

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson Medical Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111208000056Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jefferson Medical Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Zeniou, MD
General Surgery
NPI 1831149988
226 N BELLE MEAD RD SUITE C
East Setauket, NY 11733
(631) 706-0018
✔ PECOS✔ Accepts Medicare5.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Medical Surgery PC's NPI number?

The NPI number for Jefferson Medical Surgery PC is 1306127030. It was assigned to this organization in the NPPES registry on September 8, 2011.

Where is Jefferson Medical Surgery PC located?

Jefferson Medical Surgery PC is located at 200 E Main St Ste 1E, Smithtown, NY 11787. The listed phone number is (631) 265-4567.

What is Jefferson Medical Surgery PC's specialty?

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

Is Jefferson Medical Surgery PC enrolled in Medicare?

Yes. Jefferson Medical Surgery PC is registered in the Medicare PECOS enrollment system.

When is Jefferson Medical Surgery PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jefferson Medical Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Jefferson Medical Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jefferson Medical Surgery PC was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.