| Dr Ashish Agarwala, DO | |
|
625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 | |
| (631) 689-0220 | |
| (631) 686-7626 |
| Full Name | Dr Ashish Agarwala |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 625 Belle Terre Rd, Port Jefferson, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982848156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 252470-1 (New York) | Primary |
| 208600000X | Surgery | 0102202375 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Long Island Laparoscopic Surgery Pllc | 9830523117 | 5 |
| Entity Name | St Charles Hospital Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497765630 PECOS PAC ID: 6103733050 Enrollment ID: O20050205000015 |
| Entity Name | Long Island Laparoscopic Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881997724 PECOS PAC ID: 9830523117 Enrollment ID: O20191219000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ashish Agarwala, DO 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 Ph: (631) 689-0220 | Dr Ashish Agarwala, DO 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 Ph: (631) 689-0220 |
Dr. Mohamad H Abouzeid, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 N Country Rd Ste 102, Port Jefferson, NY 11777 Phone: 631-938-6999 | |
Frank P Lunati Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 70 N Country Rd, Ste 201, Port Jefferson, NY 11777 Phone: 631-403-4310 Fax: 631-403-4312 | |
Markella Michael Christakis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 70 N Country Rd, Suite 201, Port Jefferson, NY 11777 Phone: 631-403-4310 Fax: 631-403-4312 | |
Tina Joseph, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777 Phone: 631-689-0220 Fax: 631-686-7626 | |
Edward B Borden, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 625 Belle Terre Rd Ste 201, Port Jefferson, NY 11777 Phone: 631-474-0707 Fax: 631-474-4034 | |
Kristen Dismore, PA Surgery Medicare: Not Enrolled in Medicare Practice Location: 625 Belle Terre Rd Ste 202, Port Jefferson, NY 11777 Phone: 631-686-7990 | |
Dr. William Joseph Sellers, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 70 N Country Rd Ste 203, Port Jefferson, NY 11777 Phone: 631-474-0707 |