OVERSIGHT PHYSICIAN SERVICES PLLC (NPI# 1124638275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124638275 |
| Entity Type | Organization |
| Organization Name | OVERSIGHT PHYSICIAN SERVICES PLLC |
| Practice Address |
198 Sussex Dr Manhasset NY 11030-3737 |
| Mailing Address |
17 Duby Rd Wallkill NY 12589-2910 |
| Practice Telephone | 9172734092 |
| Mailing Telephone | 9172734092 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | DR. JOSEPH J MOREIRA (MEMBER) |
| Authorized Official Telephone | 9172734092 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OVERSIGHT PHYSICIAN SERVICES PLLC | Oversight Physician Services Pllc, 6565 Spring Brook Avenue, Suite 8-148, Rhinebeck, Ny 12572 |
| Street Address |
198 SUSSEX DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548739006 | Intraoperative Neurology Services PC | Psychiatry & Neurology | 4 Legends Cir, Melville, NY 11747-5302 | 2018-11-14 |
| 1457760977 | Luis Grodnitzky | Psychiatry & Neurology | 300 E 54th St Apt 4j, New York, NY 10022-5019 | 2014-08-08 |
| 1346661808 | Comprehensive Diagnostics and Imaging PC | Psychiatry & Neurology | 200 East 36 Street, 11c, New York, NY 10016 | 2013-12-30 |
| 1952601668 | Ideal Idtf Services of New York, Inc. | Psychiatry & Neurology | 4394 Broadway, New York, NY 10040-4002 | 2010-10-27 |
| 1922261486 | Amit Khaneja | Psychiatry & Neurology | 1155 Warburton Ave Apt 1u, Yonkers, NY 10701-1075 | 2008-07-05 |
| 1538331749 | Autonomic Neurology, Pllc | Psychiatry & Neurology | 2 Charlton St, 15b, New York, NY 10014-4909 | 2008-03-27 |
| 1215967633 | Robert Alan Gold | Psychiatry & Neurology | Pilgrim Psychiatric Center, 998 Crooked Hill Road, West Brentwood, NY 11717 | 2006-07-03 |
| 1831151281 | Alcibiades J. Rodriguez | Psychiatry & Neurology | 724 2nd Ave, New York, NY 10016-2710 | 2006-04-03 |
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1629075767 | Itzhak C Haimovic | Psychiatry & Neurology | 170 Great Neck Road, Great Neck, NY 11021 | 2005-07-05 |
| Find all providers with the same taxonomy | ||||
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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.