SOUTH NASSAU PHYSICIAN PRACTICE PC
NPI 1962652685
Surgery in Valley Stream, NY

Active since September 30, 2008
1 S CENTRAL AVE, VALLEY STREAM, NY 11580(516) 632-3350(516) 632-3355 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Nassau Physician Practice Pc NPPES

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

SOUTH NASSAU PHYSICIAN PRACTICE PC (NPI 1962652685) is a healthcare organization registered as a surgery in Valley Stream, New York and active in the NPI registry since September 2008. The organization lists Rajiv V Datta, Director, as its authorized official.

NPPES Registry Identity

NPI1962652685
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTH NASSAU PHYSICIAN PRACTICE PC
Location Address1 S CENTRAL AVEValley Stream, NY 11580-5443
Mailing Address1 S Central AveValley Stream, NY 11580-5443 · (516) 632-3350 · Fax (516) 632-3355
Fax(516) 632-3355
Organization SubpartNo
Authorized OfficialRajiv V DattaDirector · (516) 632-3350
Enumeration DateSeptember 30, 2008
NPI 1962652685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NY · 201327 Licensed in NY · 200879 Licensed in NY · 242239
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

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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.

Obstetrics & Gynecology (Gynecology)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Surgery (Surgical Oncology)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Surgery
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nurse Practitioner (Women's Health)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Specialist
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Surgery
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Nurse Practitioner (Adult Health)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580
Surgery (Surgical Oncology)
1 S CENTRAL AVE
VALLEY STREAM, NY 11580

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 South Nassau Physician Practice PC's NPI number?

The NPI number for South Nassau Physician Practice PC is 1962652685. It was assigned to this organization in the NPPES registry on September 30, 2008.

Where is South Nassau Physician Practice PC located?

South Nassau Physician Practice PC is located at 1 S Central Ave, Valley Stream, NY 11580. The listed phone number is (516) 632-3350.

What is South Nassau Physician Practice PC's specialty?

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

What insurance does South Nassau Physician Practice PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list South Nassau Physician Practice PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Nassau Physician Practice PC was last updated on September 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.