OrganizationActive
Surgical Specialist of Long Island, PC
NPI 1871996223 · Surgery Physician · Commack, NY
Surgical Specialist of Long Island, PC is a Surgery Physician organization in Commack, NY (NPI 1871996223).
Provider details
- NPI number
- 1871996223
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Martinez, Physician(631) 486-5030
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2171 Jericho Tpke Ste 100
Commack, NY 11725-2900
Phone: (631) 486-5030
Fax: (631) 724-4229
Street-level locationGet directions
Mailing address
2171 Jericho Tpke Ste 100
Commack, NY 11725-2900
Additional practice locations (1)
- 989 W Jericho TpkeSmithtown, NY 11787-3241Phone: (631) 486-5030Fax: (631) 724-4229
Registry dates
- Enumerated
- 2014-09-30
- Last updated
- 2022-04-21
- Certified
- 2021-10-28
Frequently asked questions
- What is Surgical Specialist of Long Island, PC's NPI number?
- Surgical Specialist of Long Island, PC's National Provider Identifier (NPI) is 1871996223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgical Specialist of Long Island, PC?
- Surgical Specialist of Long Island, PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Surgical Specialist of Long Island, PC located?
- Surgical Specialist of Long Island, PC's practice location on file with NPPES is 2171 Jericho Tpke Ste 100, Commack, NY 11725-2900.
- What is Surgical Specialist of Long Island, PC's phone number?
- The practice phone number listed in the NPPES registry for Surgical Specialist of Long Island, PC is (631) 486-5030.
- Who is the authorized official for Surgical Specialist of Long Island, PC?
- The authorized official listed on Surgical Specialist of Long Island, PC's NPPES record is Tara Martinez, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgical Specialist of Long Island, PC's NPI active?
- Yes — Surgical Specialist of Long Island, PC's NPI (1871996223) is active in the NPPES registry as of the last update on 2022-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.