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EASTERN LONG ISLAND SURGERY PC
NPI 1699945378
Surgery in Southampton, NY

Active since March 10, 2008
365 COUNTY RD 39A, SUITE 11, SOUTHAMPTON, NY 11968(631) 287-6202(631) 287-6213 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastern Long Island Surgery Pc NPPES

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

EASTERN LONG ISLAND SURGERY PC (NPI 1699945378) is a healthcare organization registered as a surgery in Southampton, New York and active in the NPI registry since March 2008. The organization lists Medhat E Allam, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1699945378
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEASTERN LONG ISLAND SURGERY PC
Location Address365 COUNTY RD 39A, SUITE 11Southampton, NY 11968
Mailing Address365 County Rd 39a, Suite 11Southampton, NY 11968 · (631) 287-6202 · Fax (631) 287-6213
Phone(631) 287-6202
Fax(631) 287-6213
Organization SubpartNo
Authorized OfficialMedhat E AllamSole Owner · (631) 287-6202
Enumeration DateMarch 10, 2008
✔ NPI 1699945378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 193888
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.
365 COUNTY RD 39A, Southampton, NY 11968
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Long Island Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eastern Long Island Surgery PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Medhat Allam, M.D.
General Surgery
NPI 1932108412
365 COUNTY ROAD 39A SUITE 11
Southampton, NY 11968
(631) 287-6202
✔ PECOSSame address
Lawrence Tarasuk, DO
General Surgery
NPI 1013182591
325 MEETING HOUSE LN BLDG 2 SUITE 403
Southampton, NY 11968
(631) 283-2100
✔ PECOS✔ Accepts Medicare1.0 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 Eastern Long Island Surgery PC's NPI number?

The NPI number for Eastern Long Island Surgery PC is 1699945378. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Eastern Long Island Surgery PC located?

Eastern Long Island Surgery PC is located at 365 County Rd 39A Suite 11, Southampton, NY 11968. The listed phone number is (631) 287-6202.

What is Eastern Long Island Surgery PC's specialty?

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

Is Eastern Long Island Surgery PC enrolled in Medicare?

Yes. Eastern Long Island Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Long Island Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Eastern Long Island 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Long Island Surgery PC was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.