LONG ISLAND SURGERY P.C.
NPI 1790716546
Surgery in Patchogue, NY

Active since July 06, 2006
4 PHYLLIS DRIVE, PATCHOGUE, NY 11772(631) 289-4700(631) 289-4718 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Long Island Surgery P.c. NPPES

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

LONG ISLAND SURGERY P.C. (NPI 1790716546) is a healthcare organization registered as a surgery in Patchogue, New York and active in the NPI registry since July 2006. The organization lists Badri P Nath, Md, as its authorized official.

NPPES Registry Identity

NPI1790716546
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLONG ISLAND SURGERY P.C.
Location Address4 PHYLLIS DRIVEPatchogue, NY 11772
Mailing Address4 Phyllis DrivePatchogue, NY 11772 · (631) 289-4700 · Fax (631) 289-4718
Fax(631) 289-4718
Organization SubpartNo
Authorized OfficialBadri P NathMd · (631) 289-4700
Enumeration DateJuly 6, 2006
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1790716546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 194796
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.
4 PHYLLIS DRIVE, Patchogue, NY 11772

Other Identifiers 6

Medicare UPING58929
Medicare PINWGW181NY
Other5020361NY · Suffolk Healthplan
Other020038452NY · Mcr Rr
Medicaid01762005NY
OtherP773785NY · Oxf

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)

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Long Island Surgery P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

General Surgery
NPI 1134189210
4 PHYLLIS DR STE B
Patchogue, NY 11772
(631) 289-4700
✔ PECOSSame address
General Surgery
NPI 1407049901
4 PHYLLIS DR SUITE B
Patchogue, NY 11772
(631) 289-4700
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1528470747
4 PHYLLIS DR SUITE B
Patchogue, NY 11772
(631) 289-4700
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1619238409
4 PHYLLIS DR STE B
Patchogue, NY 11772
(631) 289-4700
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1689852386
4 PHYLLIS DR STE B
Patchogue, NY 11772
(631) 289-4700
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1154464949
4 PHYLLIS DRIVE
Patchogue, NY 11772
(631) 289-4700
✔ PECOS✔ Accepts Medicare0.5 mi
General Surgery
NPI 1982812756
332 W MONTAUK HWY STE 3
Hampton Bays, NY 11946
(631) 728-0393
✔ PECOS24 mi
Vascular Surgery
NPI 1750300950
849 57TH STREET STE 801
Brooklyn, NY 11220
(718) 768-3560
✔ PECOS54 mi
Colorectal Surgery (Proctology)
NPI 1972921930
2895 HUELAND POND BLVD STE 200
Wesley Chapel, FL 33543
(813) 467-4312
✔ PECOS✔ Accepts Medicare1,016 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 Long Island Surgery P.C.'s NPI number?

The NPI number for Long Island Surgery P.C. is 1790716546. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Long Island Surgery P.C. located?

Long Island Surgery P.C. is located at 4 Phyllis Drive, Patchogue, NY 11772. The listed phone number is (631) 289-4700.

What is Long Island Surgery P.C.'s specialty?

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

Is Long Island Surgery P.C. enrolled in Medicare?

Yes. Long Island Surgery P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Surgery P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Long Island Surgery P.C.. 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. The largest specialties are General Surgery (7), Colorectal Surgery (Proctology) (1) and Vascular Surgery (1). Of these, 1 practice at this address and 6 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 Long Island Surgery P.C. was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.