LONG ISLAND VASCULAR & SURGICAL, PC
NPI 1306896410
Surgery - Vascular Surgery in Garden City, NY
About Long Island Vascular & Surgical, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONG ISLAND VASCULAR & SURGICAL, PC (NPI 1306896410) is a healthcare organization registered as a vascular surgery in Garden City, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Xenophon P Xenophontos, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Long Island Vascular & Surgical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Long Island Vascular & Surgical, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2069058
Long Island Vascular & Surgical PC · Garden City, NYFrequently 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 Long Island Vascular & Surgical, PC's NPI number?
The NPI number for Long Island Vascular & Surgical, PC is 1306896410. It was assigned to this organization in the NPPES registry on May 11, 2006.
Where is Long Island Vascular & Surgical, PC located?
Long Island Vascular & Surgical, PC is located at 585 Stewart Ave Suite Ll-16, Garden City, NY 11530. The listed phone number is (516) 227-2721.
What is Long Island Vascular & Surgical, PC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Long Island Vascular & Surgical, PC enrolled in Medicare?
Yes. Long Island Vascular & Surgical, PC is registered in the Medicare PECOS enrollment system.
When is Long Island Vascular & Surgical, 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 November 30, 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 Long Island Vascular & Surgical, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Long Island Vascular & Surgical, 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.
Does Long Island Vascular & Surgical, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2069058) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Long Island Vascular & Surgical, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Long Island Vascular & Surgical, Pc · NPI 1306896410
Vascular Surgery organization in Garden City, New York. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1306896410 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Xenophon Xenophontos, PRESIDENT
## Practice location
- **Address:** 585 STEWART AVE, SUITE LL-16, Garden City, NY 11530-4783
- **Phone:** (516) 227-2721 · **Fax:** (516) 227-0564
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Vascular Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306896410) · Data from the CMS NPPES public registry.