Organization
SURGICAL GROUP PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY K NUSSBAUM M.D. (PRESIDENT)
(631) 598-7757
Entity
Organization
Contact information
Practice address
157 BROADWAY, AMITYVILLE, NY 11701-2729
(631) 598-7757
(631) 598-7759
Mailing address
157 BROADWAY, AMITYVILLE, NY 11701-2729
(631) 598-7757
(631) 598-7759
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
147879
NY
2086S0129X
Vascular Surgery Physician
147879
NY
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up