Long Island Surgical Specialist, P.C.
NPI 1932170255ActiveOrganization· Exclusive Provider Organization· Port Washington, NY
Exclusive Provider Organization in Port Washington, New York, registered in NPPES in January 2006. The authorized official on file is Renato B. Berroya, M.D., F.A.C.S., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932170255 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2006 |
| Last updated in NPPES | Sep 15, 2015 |
| Reactivated | Aug 2, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|