OrganizationActive
Broome Surgery & Breast Care, P.C.
NPI 1790960839 · Specialist · Johnson City, NY
Broome Surgery & Breast Care, P.C. is a Specialist organization in Johnson City, NY (NPI 1790960839).
Provider details
- NPI number
- 1790960839
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ghassem Mangouri, President(607) 729-0443
- License
- 0154223 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
240 Riverside Dr
Suite 3
Johnson City, NY 13790-2732
Phone: (607) 729-0443
Fax: (607) 766-9395
Approximate (ZIP-level) locationGet directions
Mailing address
240 Riverside Dr
Johnson City, NY 13790-2732
Registry dates
- Enumerated
- 2008-01-08
- Last updated
- 2008-02-07
Frequently asked questions
- What is Broome Surgery & Breast Care, P.C.'s NPI number?
- Broome Surgery & Breast Care, P.C.'s National Provider Identifier (NPI) is 1790960839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broome Surgery & Breast Care, P.C.?
- Broome Surgery & Breast Care, P.C. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Broome Surgery & Breast Care, P.C. located?
- Broome Surgery & Breast Care, P.C.'s practice location on file with NPPES is 240 Riverside Dr, Johnson City, NY 13790-2732.
- What is Broome Surgery & Breast Care, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Broome Surgery & Breast Care, P.C. is (607) 729-0443.
- Who is the authorized official for Broome Surgery & Breast Care, P.C.?
- The authorized official listed on Broome Surgery & Breast Care, P.C.'s NPPES record is Ghassem Mangouri, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broome Surgery & Breast Care, P.C.'s NPI active?
- Yes — Broome Surgery & Breast Care, P.C.'s NPI (1790960839) is active in the NPPES registry as of the last update on 2008-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.