DR. MICHAEL NUSSBAUM (NPI# 1356458442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356458442 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL NUSSBAUM |
| Credential | M.D. |
| Practice Address |
270 Union Ave Holbrook NY 11741-1823 |
| Mailing Address |
62 Old Homestead Rd Port Jefferson NY 11777-1185 |
| Practice Telephone | 6315884442 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
124424 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00306170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100856 | Michael Nussbaum | Anesthesiology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2005-08-02 |
| 1508023342 | Michael Bart Nussbaum | Dentist | 3660 Stoneridge Rd, B101, Austin, TX 78746-7760 | 2008-05-20 |
| 1972571669 | Michael Nussbaum | Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2006-03-09 |
| 1164409678 | Michael Lynn Nussbaum | Surgery | 1245 Highland Ave, Suite 600, Abington, PA 19001-3714 | 2005-12-27 |
| Street Address |
270 UNION AVE |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265547780 | Jason Kronberg | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2006-08-21 |
| 1992340871 | Victoria Dennis | Nurse Practitioner | 270 Union Ave, Holbrook, NY 11741-1823 | 2019-11-14 |
| 1073906749 | Laci Nicole Cook | Nurse Practitioner | 270 Union Ave, Holbrook, NY 11741-1823 | 2015-03-05 |
| 1639325285 | Katarzyna Klek | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-08-14 |
| 1083877948 | Freed, Scherz, Kleinberg, Nussbaum & Festa, Md, LLP | Legal Medicine | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-07-09 |
| 1790959302 | Tina Marie Lafemina | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-15 |
| 1508039520 | Jeanne Marie Schaefer | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1578736591 | Laura Mcdowell | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1366615395 | Patricia J. Sondgeroth | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1871766808 | Michele M Welch | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649377102 | Freed, Scherz, Kleinberg, Nussbaum, Festa, M.d. LLP | Pediatrics | 270 Union Avenue, Holbrook, NY 11741 | 2006-09-19 |
| 1639325285 | Katarzyna Klek | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-08-14 |
| 1245431477 | Phyllis G Simon-goldman | Pediatrics | 270 Union Ave, Holbrook, NY 11741 | 2007-05-28 |
| 1447367537 | Mitchell Kleinberg | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2006-08-24 |
| 1265549356 | Robert S Festa | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| 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.