South Nassau Physician Practice PC
NPI 1962652685 · Surgery Physician · Valley Stream, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Nassau Physician Practice PC is a Surgery Physician organization in Valley Stream, NY (NPI 1962652685).
Provider details
- NPI number
- 1962652685
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rajiv Datta, Director(516) 632-3350
- License
- 200879 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-09-30
- Last updated
- 2008-09-30
Frequently asked questions
- What is South Nassau Physician Practice PC's NPI number?
- South Nassau Physician Practice PC's National Provider Identifier (NPI) is 1962652685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Nassau Physician Practice PC?
- South Nassau Physician Practice PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is South Nassau Physician Practice PC located?
- South Nassau Physician Practice PC's practice location on file with NPPES is 1 S Central Ave, Valley Stream, NY 11580-5443.
- What is South Nassau Physician Practice PC's phone number?
- The practice phone number listed in the NPPES registry for South Nassau Physician Practice PC is (516) 632-3350.
- Does South Nassau Physician Practice PC accept Medicare?
- South Nassau Physician Practice PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Nassau Physician Practice PC?
- The authorized official listed on South Nassau Physician Practice PC's NPPES record is Rajiv Datta, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Nassau Physician Practice PC's NPI active?
- Yes — South Nassau Physician Practice PC's NPI (1962652685) is active in the NPPES registry as of the last update on 2008-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.