Northeastern Thoracic Surgery, PLLC
NPI 1558054759 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Port Jefferson Station, NY
Northeastern Thoracic Surgery, PLLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician organization in Port Jefferson Station, NY (NPI 1558054759).
Provider details
- NPI number
- 1558054759
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Brevetti, Owner/Provider(917) 575-8907
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-01
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Frequently asked questions
- What is Northeastern Thoracic Surgery, PLLC's NPI number?
- Northeastern Thoracic Surgery, PLLC's National Provider Identifier (NPI) is 1558054759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Thoracic Surgery, PLLC?
- Northeastern Thoracic Surgery, PLLC is classified in the NPPES registry as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Northeastern Thoracic Surgery, PLLC located?
- Northeastern Thoracic Surgery, PLLC's practice location on file with NPPES is 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055.
- What is Northeastern Thoracic Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Thoracic Surgery, PLLC is (631) 353-0909.
- Who is the authorized official for Northeastern Thoracic Surgery, PLLC?
- The authorized official listed on Northeastern Thoracic Surgery, PLLC's NPPES record is Gregory Brevetti, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Thoracic Surgery, PLLC's NPI active?
- Yes — Northeastern Thoracic Surgery, PLLC's NPI (1558054759) is active in the NPPES registry as of the last update on 2023-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.