FREDRIC J MINTZ, MD, PC (NPI# 1457534141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457534141 |
| Entity Type | Organization |
| Organization Name | FREDRIC J MINTZ, MD, PC |
| Practice Address |
175 Jericho Tpke Suite 217 Syosset NY 11791-4532 |
| Practice Telephone | 5166820001 |
| Practice Fax Number | 5166820004 |
| Mailing Telephone | 5166820001 |
| Mailing Fax Number | 5166820004 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |
| Authorized Official Name | DR. FREDRIC J MINTZ (DOCTOR) |
| Authorized Official Telephone | 5166820001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 150334 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
175 JERICHO TPKE SUITE 217 |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472130 | Howard Heimowitz | Radiology | 175 Jericho Tpke, Suite 120, Syosset, NY 11791-4532 | 2005-07-27 |
| 1497247530 | 50 Oceana Pharmacy Corp. | Durable Medical Equipment & Medical Supplies | 175 Jericho Tpke, West Lobby Suite, Syosset, NY 11791-4532 | 2018-06-05 |
| 1467823443 | Medical Office of Fawzy Wasfy Salama Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 411, Syosset, NY 11791-4532 | 2015-10-15 |
| 1164806758 | Dr Greg Davies & Dr Sharone Stern | Podiatrist | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2015-07-14 |
| 1619367844 | Rehabilitation Associate of Li Physical Medicine Pllc | Physical Medicine & Rehabilitation | 175 Jericho Tpke, Syosset, NY 11791-4532 | 2015-01-26 |
| 1265821953 | Positive Change Psychiatry Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 301, Syosset, NY 11791-4532 | 2015-01-18 |
| 1710393459 | Nicole R Esposito | Speech-Language Pathologist | 175 Jericho Tpke, Suite 103, Syosset, NY 11791-4546 | 2014-07-02 |
| 1194135483 | Diabetes and Endocrine Care of Long Island Pllc | Internal Medicine | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2014-05-07 |
| 1679918957 | Elliott Jay Dombroff | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-05-01 |
| 1588008346 | Celestino Marques Dossantos | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| 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 |
|---|---|---|---|---|
| 1780194001 | Ranjit S. Kadam M.d. P.C. | Internal Medicine | 15 Albergo Ln, Syosset, NY 11791-3847 | 2017-10-02 |
| 1528578747 | Sejal Kadam Md P C | Internal Medicine | 50 Stirrup Ln, Syosset, NY 11791-4429 | 2017-10-02 |
| 1184023350 | Harriet Stathakos | Internal Medicine | 331 Southwood Cir, Syosset, NY 11791-5715 | 2014-08-14 |
| 1336411214 | Gurpreet Singh Walia | Internal Medicine | 1968 Knollwood Rd, Syosset, NY 11791-9607 | 2012-02-07 |
| 1841443538 | Long Island Medical Services P.C. | Internal Medicine | 235 Saddle Ln, Syosset, NY 11791-4428 | 2008-10-28 |
| 1164547840 | Paul E Wiseman | Internal Medicine | 288 Southwood Cir, Syosset, NY 11791-5713 | 2007-03-20 |
| 1104995075 | Venugopal Reddy Palla | Internal Medicine | 8 Greenfield Road, Syosset, NY 11791 | 2006-11-07 |
| 1205936044 | Sheldon M Petersel | Internal Medicine | 5 Wood Ct, Syosset, NY 11791-6518 | 2006-09-22 |
| 1811091127 | Shenyi Peng | Internal Medicine | 16 Lenore Street, Syosset, NY 11791 | 2006-09-08 |
| 1720046576 | Randolph P Dilorenzo | Internal Medicine | 99 Cold Spring Rd, Syosset, NY 11791-3109 | 2006-05-02 |
| Find all providers in SYOSSET | ||||
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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.