Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

New York Surgical Associates Office Based Surgery, PC

Organization Surgery Physician · NPI 1255610887

New York Surgical Associates Office Based Surgery, PC is a Surgery Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2235 Clove Rd Ste #2
Staten Island, NY 10305-1566
Phone: (718) 815-2300
Fax: (718) 815-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 209637-1 (NY)
Surgery Physician Taxonomy 208600000X · Licence 204537-1 (NY)

Record details

NPI number1255610887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomasine Fodera — Owner · (718) 815-2300
NPI enumeratedAugust 13, 2011
Last updated in NPPESAugust 13, 2011
Mailing address2235 Clove Rd, Suite #2, Staten Island, NY 10305-1566

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