Dr. Nicholas Divaris is a East Setauket, New York based male orthopedic surgeon with 29 years of experience in Orthopaedic Trauma. He completed his graduation from State University Of New York At Stony Brook, School Of Medicine in 1995. He is also affiliated with hospitals like Suny/stony Brook University Hospital and St Charles Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Nicholas Divaris is 207388 for Orthopaedic Trauma in New York.
Dr. Nicholas Divaris deals with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Complete Profile:
Dr. Nicholas Divaris speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopaedic Trauma
Experience:
29+ years
Medical School Attended:
State University Of New York At Stony Brook, School Of Medicine
Graduation Year:
1995
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
14 Technology Dr, East Setauket, New York, 11733-3472
Phone:
631-444-4233
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022149269
Enrollment ID:
I20100701000510
NPI Number:
1023065380
NPI Enumeration Date:
30 May, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicholas Divaris are as mentioned below.
License Number
Specialization
State
Status
207388
Orthopaedic Trauma
New York
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Suny/stony Brook University Hospital (330393)
Stony brook, NY
Acute Care Hospital
St Charles Hospital (330246)
Port jefferson, NY
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Nicholas Divaris is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor (7810886231)
42
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nicholas Divaris such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7470302
Other
New York
AETNA
02176736
Medicaid
New York
421G01
Other
New York
EMPIRE BC.BS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1559, Stony Brook, New York
Zip:
11790-0989
Phone Number:
631-444-4233
Fax Number:
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Patients can reach Dr. Nicholas Divaris at 14 Technology Dr, East Setauket, New York or can call to book an appointment on 631-444-4233. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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