SETAUKET SURGERY, PC (NPI# 1104287432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104287432 |
| Entity Type | Organization |
| Organization Name | SETAUKET SURGERY, PC |
| Practice Address |
4 Technology Dr Suite 220 East Setauket NY 11733-4080 |
| Mailing Address |
4 Technology Drive Suite 220 East Setauket NY 11733-4085 |
| Practice Telephone | 6314769296 |
| Practice Fax Number | 6314769298 |
| Mailing Telephone | 6314769296 |
| Mailing Fax Number | 6314769298 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | HESHAM M ATWA (OWNER) |
| Authorized Official Telephone | 6314769296 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 221306 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
4 TECHNOLOGY DR SUITE 220 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921558 | Jack Oats | Ophthalmology | 4 Technology Dr, Suite 150, East Setauket, NY 11733-4080 | 2005-06-13 |
| 1346774122 | Setauket Medical, PC | Internal Medicine | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 | 2017-04-18 |
| 1902279029 | Lisa Ambrose | Nurse Practitioner | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 | 2015-11-11 |
| 1376940742 | Blue Harbor Medical PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-12-01 |
| 1437565520 | Jaclyn N Mascia | Dietitian, Registered | 4 Technology Dr, Suite 250, East Setauket, NY 11733-4080 | 2014-07-09 |
| 1184030918 | Karim A Paracha Physician PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-07-01 |
| 1255741153 | Harbor View Medical Services, P.C. | Surgery | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 | 2014-04-30 |
| 1437582103 | Shelly Beth Waldman | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-08-16 |
| 1598101180 | Vicki Kumari Masson | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-05-22 |
| 1073885604 | Cristin Rose Gengler | Nurse Practitioner | 4 Technology Dr, East Setauket, NY 11733-4080 | 2012-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831149988 | Andrew N Zeniou | Surgery | 226 N Belle Mead Rd, Suite C, East Setauket, NY 11733-3524 | 2006-05-11 |
| 1568411387 | Colleen Mccloy | Surgery | 226 N Belle Mead Rd Ste C, East Setauket, NY 11733-3524 | 2006-05-09 |
| 1023574589 | Riverhead Surgery, PC | Surgery | 4 Technology Drive, Suite 220, East Setauket, NY 11733-4085 | 2019-02-20 |
| 1023512621 | Cmc General Surgery PC | Surgery | 226 N Belle Mead Rd Ste C, East Setauket, NY 11733-3524 | 2018-03-20 |
| 1376940742 | Blue Harbor Medical PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-12-01 |
| 1184030918 | Karim A Paracha Physician PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-07-01 |
| 1740600071 | Belle Meade Medical, PC | Surgery | 4 Technology Drive, Suite 220, East Setauket, NY 11733-4085 | 2014-04-25 |
| 1467732933 | Ting-kin J Leung | Surgery | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 | 2011-08-27 |
| 1457649113 | Tech Medical Office, PC | Surgery | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 | 2011-07-15 |
| 1114165909 | Colon and Rectal Surgeons of Long Island, P.C. | Surgery | 3400 Nesconset Hwy, Suite 100, East Setauket, NY 11733-3327 | 2009-02-02 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.