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

Active since May 05, 2015
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: October 25, 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 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
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

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)

North Shore Vascular Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Shore Vascular Surgery, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vascular Surgery
NPI 1598783953
620 BELLE TERRE RD SUITE #2
Port Jefferson, NY 11777
(631) 524-5960
✔ PECOS✔ Accepts MedicareSame address

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 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.

Is North Shore Vascular Surgery, PC enrolled in Medicare?

Yes. North Shore Vascular Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Vascular Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to North Shore Vascular 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.