NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES (NPI# 1306043591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306043591 |
Entity Type | Organization |
Organization Name | NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES |
Practice Address |
48 Route 25a Suite 209 Smithtown NY 11787-1431 |
Mailing Address |
235 N Belle Mead Rd East Setauket NY 11733-3456 |
Practice Telephone | 6319796501 |
Mailing Telephone | 6317513000 |
Mailing Fax Number | 6319412700 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2007-12-06 |
Authorized Official Name | EDWARD T SAMUEL (PROVIDER) |
Authorized Official Telephone | 6317513000 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00679947 | 05 | |
NY | RR MEDICARE | CC5178 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578761730 | North Shore Hematology Oncology Associates | Specialist | 285 Sills Rd, Bldg #17, East Patchogue, NY 11772-4869 | 2007-07-10 |
1255539847 | North Shore Hematology Oncology Associates | Specialist | 181 N Belle Mead Rd, East Setauket, NY 11733-3495 | 2007-07-05 |
1710184999 | North Shore Hematology Oncology Associates | Specialist | 285 Sills Rd, Bldg #16, East Patchogue, NY 11772-4869 | 2007-06-29 |
Street Address |
48 ROUTE 25A SUITE 209 |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-1431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568460343 | Rakesh B Patel | Specialist | 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 | 2005-07-14 |
1114345055 | Rakesh B. Patel Physician PC | Specialist | 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 | 2014-03-28 |
1730428467 | Southwest Suffolk, P.c | Family Medicine | 48 Route 25a, Suite 210, Smithtown, NY 11787-1431 | 2013-01-31 |
1245586528 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 | 2012-07-24 |
1669748943 | Jessica Piccoli | Physician Assistant | 48 Route 25a, Medical Office Building, Suite 305, Smithtown, NY 11787-1431 | 2012-03-30 |
1083986418 | Joseph R Vitolo Md PC | Surgery | 48 Route 25a, Suite 308, Smithtown, NY 11787 | 2012-02-01 |
1205168739 | Nick H Gabriel Do PC | Surgery | 48 Route 25a, Suite 104, Smithtown, NY 11787-1431 | 2010-02-09 |
1851533699 | Richard Charles Feldstein | Internal Medicine | 48 Route 25a, Suite 107, Smithtown, NY 11787-1431 | 2009-03-25 |
1326206079 | Valentina Emilia Radianu | Anesthesiology | 48 Route 25a, Smithtown, NY 11787-1431 | 2008-05-29 |
1295992535 | Michael Raymond Weber | Internal Medicine | 48 Route 25a, Suite 103, Smithtown, NY 11787-1431 | 2008-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497368039 | Donna T Jensen | Specialist | 23 Marquette Dr, Smithtown, NY 11787-2022 | 2020-08-24 |
1184266256 | Jenny Marie Portuallo | Specialist | 1 Oakside Rd, Smithtown, NY 11787-1555 | 2019-10-10 |
1295384089 | Brittany L Helfner | Specialist | 390 N Country Rd, Smithtown, NY 11787-2066 | 2019-09-05 |
1447711056 | Lyndsay Mccormack | Specialist | 36 Asbury Dr, Smithtown, NY 11787-3127 | 2019-03-27 |
1609347335 | Theater Surgical Arts Office Based Surgery, PC | Specialist | 994 W Jericho Tpke Ste 102, Smithtown, NY 11787-3211 | 2018-12-06 |
1386153096 | Kathleen Ann Farrell | Specialist | 213 Holly Ln, Smithtown, NY 11787-4430 | 2017-09-26 |
1275055790 | Angela Sue Gallagher | Specialist | 29 Hemlock Lane, Smithtown, NY 11787 | 2017-07-17 |
1134658271 | Katherine Flaherty | Specialist | 44 Route 25a Apt 512, Smithtown, NY 11787-1413 | 2017-06-11 |
1164963872 | Lauren Cillis | Specialist | 4 Darling Ave, Smithtown, NY 11787-4605 | 2017-03-14 |
1457896383 | Salvatore Finocchiaro | Specialist | 48 Birchbrook Dr, Smithtown, NY 11787-3602 | 2017-01-02 |
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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.