NORTH SHORE LIJ PHYSICIANS GROUP PC (NPI# 1073818308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073818308 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE LIJ PHYSICIANS GROUP PC |
| Practice Address |
145 Community Dr Great Neck NY 11021-5502 |
| Practice Telephone | 5164658182 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | MR. ROBERT S SHAPIRO (SR VP & CFO) |
| Authorized Official Telephone | 5164658182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
145 COMMUNITY DR |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033536297 | North Shore Lij Medical Group Urgent Medical Care, P.c | Clinic/Center | 145 Community Dr, Great Neck, NY 11021-5502 | 2014-03-26 |
| 1619316718 | North Shore-lij Health Plan | Health Maintenance Organization | 145 Community Dr, Great Neck, NY 11021-5502 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598146383 | Daniel D Refoua | Internal Medicine | 12 Willow Pl, Great Neck, NY 11021-1906 | 2015-06-17 |
| 1093192858 | Caredoc Medical PC | Internal Medicine | 45 Hill Park Ave #1-o, Great Neck, NY 11021-3719 | 2015-04-30 |
| 1376966432 | Illya Keith Maher | Internal Medicine | 24 Hemlock Dr, Great Neck, NY 11024-1234 | 2014-01-27 |
| 1497185532 | Philip Alan Bresnick | Internal Medicine | 17 Schoolhouse Lane, Great Neck, NY 11020 | 2013-11-26 |
| 1336481928 | Benjamin Gentin | Internal Medicine | 92 Cedar Dr, Great Neck, NY 11021-2836 | 2013-03-21 |
| 1417299033 | Jennifer Chao | Internal Medicine | 488 Great Neck Rd Ste 200, Great Neck, NY 11021 | 2013-03-21 |
| 1265746358 | Dr. Edward Wolff | Internal Medicine | 107 Northern Blvd Ste 404, Great Neck, NY 11021-4312 | 2010-07-30 |
| 1760700520 | Joseph Yehounatan | Internal Medicine | 5 Hewlett Pl, Great Neck, NY 11024-1605 | 2010-05-04 |
| 1487978870 | Fevus Landman | Internal Medicine | 3 Winfield Terrace, Great Neck, NY 11023-2018 | 2010-03-15 |
| 1568784759 | Rsn Imaging LLC | Internal Medicine | 1000 Northern Blvd Ste 375, Great Neck, NY 11021-5312 | 2010-02-16 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.