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NORTH SHORE VASCULAR SURGERY, PC
NPI 1962889345
Surgery - Vascular Surgery in Port Jefferson, NY

Active since May 05, 2015CLIA 33D2191531 · Waiver
620 BELLE TERRE RD, SUITE NO. 2, PORT JEFFERSON, NY 11777(631) 524-5960(631) 524-5963 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Sep 18, 2020 (2 updates tracked since 2020).

About North Shore Vascular Surgery, Pc NPPES

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

NORTH SHORE VASCULAR SURGERY, PC (NPI 1962889345) is a healthcare organization registered as a vascular surgery in Port Jefferson, New York and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Ahmad F Bhatti, Vascular Surgeon / Owner, as its authorized official.

NPPES Registry Identity

NPI1962889345
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameNORTH SHORE VASCULAR SURGERY, PC
Location Address620 BELLE TERRE RD, SUITE NO. 2Port Jefferson, NY 11777-2500
Mailing Address620 Belle Terre Rd, Suite No. 2Port Jefferson, NY 11777-2500 · (631) 524-5960 · Fax (631) 524-5963
Phone(631) 524-5960
Fax(631) 524-5963
Organization SubpartNo
Authorized OfficialAhmad F BhattiVascular Surgeon / Owner · (631) 805-5956
Enumeration DateMay 5, 2015
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1962889345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
620 BELLE TERRE RD, Port Jefferson, NY 11777
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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

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 33D2191531

North Shore Vascular Surgery PC · Port Jefferson, NY
Active · expires Aug 27, 2026
CLIA Number33D2191531
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorDr. Ahmad F. Bhatti
Laboratory Phone(631) 524-5960
Laboratory LocationNorth Shore Vascular Surgery PC620 Elle Terre Road Ste 2, Port Jefferson, NY 11777
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARAIN MOHAMMAD NAWAZ MD
Internal Medicine (Gastroenterology)
620 BELLE TERRE RD, SUITE 1
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-0240
HAMID HUSSAIN M.D.
Allergy & Immunology
620 BELLE TERRE RD, SUITE: 5
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-9736
DR. AHMAD F BHATTI MD
Surgery (Vascular Surgery)
620 BELLE TERRE RD, SUITE #2
PORT JEFFERSON, NY 11777
Suffolk County (631) 524-5960
PORT JEFFERSON ALLERGY & ASTHMA P.C
Allergy & Immunology
620 BELLE TERRE RD, SUITE 3
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-9736
DR. HESHAM MAHMOUD ATWA M.D.
Surgery
620 BELLE TERRE RD, SUITE 5
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-9296

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 North Shore Vascular Surgery, PC's NPI number?

The NPI number for North Shore Vascular Surgery, PC is 1962889345. It was assigned to this organization in the NPPES registry on May 5, 2015.

Where is North Shore Vascular Surgery, PC located?

North Shore Vascular Surgery, PC is located at 620 Belle Terre Rd Suite No. 2, Port Jefferson, NY 11777. The listed phone number is (631) 524-5960.

What is North Shore Vascular Surgery, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does North Shore Vascular Surgery, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2191531) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Shore Vascular Surgery, PC was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.