LONG ISLAND MEDICAL OFFICE BASED SURGERY PLLC (NPI# 1417187485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417187485 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND MEDICAL OFFICE BASED SURGERY PLLC |
| Practice Address |
1074 Old Country Rd Plainview NY 11803-4918 |
| Practice Telephone | 5169396695 |
| Practice Fax Number | 5169392392 |
| Mailing Telephone | 5169396695 |
| Mailing Fax Number | 5169392392 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Authorized Official Name | DR. DAVID KREINER (PRESIDENT/CEO) |
| Authorized Official Telephone | 5169396695 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0006X |
Clinic/Center Specialization: Ambulatory Fertility Facility |
1517981 | NY | Ambulatory Health Care Facilities |
| Street Address |
1074 OLD COUNTRY RD |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538287529 | Greg Zapantis | Specialist | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2007-03-27 |
| 1871740837 | Deborah Jorgensen | Licensed Practical Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-08-21 |
| 1417103029 | Elissa D Cohen-roth | Licensed Practical Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-08-14 |
| 1518113182 | Mary L Cuomo | Licensed Practical Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-08-14 |
| 1861657090 | Theresa Elaine Rothwell | Registered Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-07-28 |
| 1144485616 | Susan Greenbaum | Registered Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-07-24 |
| 1528223096 | Dina T Fiorio | Licensed Practical Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-07-24 |
| 1467616375 | Eileen M Davis | Registered Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-07-10 |
| 1972766939 | Maria L Cinone-loiodice | Registered Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-07-09 |
| 1598928566 | Joanna Falson | Registered Nurse | 1074 Old Country Rd, Plainview, NY 11803-4918 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
| Find all providers in zip 11803 | ||||
| Taxonomy Code | 261QA0006X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Fertility Facility |
| A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136303 | Stacey Osbourne | Clinic/Center | 24311 147th Ave, Rosedale, NY 11422-2417 | 2018-12-18 |
| 1740401538 | Jan Michal Wieckowski | Clinic/Center | 4332 E River Rd, Grand Island, NY 14072-1147 | 2007-05-01 |
| 1659823680 | Fertility Lab Sciences of New York | Clinic/Center | 810 Seventh Avenue, Floor 21, New York, NY 10019 | 2016-10-25 |
| 1295088250 | American Fertility Services | Clinic/Center | 123 West 79th Street, New York, NY 10024 | 2012-10-16 |
| 1528328382 | River View Fertility Medicine, PC | Clinic/Center | 51 E 67th St, New York, NY 10065-5949 | 2012-05-25 |
| 1396002838 | Ofrm Office Based Surgery, Pllc | Clinic/Center | 51 E 67th St, New York, NY 10065-5949 | 2012-04-23 |
| 1467780072 | Long Island Fertility & Endocrinology Assoc., PC | Clinic/Center | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2009-11-20 |
| 1902821820 | Nassau Healthcare Corporation | Clinic/Center | 460 N Main St, Freeport, NY 11520-1253 | 2006-07-13 |
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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.