Fifth Avenue Surgical Specialists PLLC
NPI 1932987740ActiveOrganization· Surgery· Teaneck, NJ
Surgery in Teaneck, New Jersey, registered in NPPES in September 2023. The authorized official on file is Paul Tsoukalas, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932987740 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2023 |
| Last updated in NPPES | Sep 21, 2023 |
| Certified by provider | Sep 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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