Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

New York Surgical Associates Office Based Surgery, PC

Organization Surgery Physician · NPI 1255610887

New York Surgical Associates Office Based Surgery, PC provides Surgery Physician services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2235 Clove Rd Ste #2
Staten Island, NY 10305-1566 Not confirmed with CMS for 15 years — call before visiting
Phone: (718) 815-2300
Fax: (718) 815-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 209637-1 (NY)
Surgery Physician Taxonomy 208600000X · Licence 204537-1 (NY)

Record details

NPI number1255610887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomasine Fodera — Owner · (718) 815-2300
NPI enumeratedAugust 13, 2011
Last updated in NPPESAugust 13, 2011
Mailing address2235 Clove Rd, Suite #2, Staten Island, NY 10305-1566

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