CHILDREN'S SURGICAL GROUP PC (NPI# 1518078799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518078799 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S SURGICAL GROUP PC |
| Practice Address |
320 Post Avenue Suite 101 Westbury NY 11590 |
| Practice Telephone | 5169971199 |
| Practice Fax Number | 5169971229 |
| Mailing Telephone | 5169971199 |
| Mailing Fax Number | 5169971229 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES VINCENT COREN (MD) |
| Authorized Official Telephone | 5169971199 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Street Address |
320 POST AVENUE SUITE 101 |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442258 | Northern Westchester Surgical PC | Surgery | 672 Stoneleigh Ave Ste C116, Carmel, NY 10512-4635 | 2018-10-10 |
| 1902248248 | Stanley Wesotski | Surgery | 28 Whitney Gate, Smithtown, NY 11787-1747 | 2013-07-29 |
| 1942596762 | Isadora C Botwinick | Surgery | Hsc Level 19 Room 068, Stony Brook, NY 11794 | 2011-06-20 |
| 1912296195 | Elizabeth Kiselak | Surgery | 5 Summit Ave., Suite 105, Hackensack, NY 07601 | 2011-03-29 |
| 1144546995 | Michael Antonio Vella | Surgery | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-0001 | 2010-04-19 |
| 1952539967 | Amie L Lucia | Surgery | 750 East Adams St Ste. 4835, Syracuse, NY 13210 | 2009-06-29 |
| 1083853428 | Molly Elizabeth Moore | Surgery | 205 Hammocks Dr, Orchard Park, NY 14127-1683 | 2009-02-09 |
| 1356587653 | Andrew Joseph Deroo | Surgery | 43 New Scotlland Dr, Mc-194, Albany, NY 12208 | 2008-12-17 |
| 1831367929 | Fausto Y Vinces Do Pllc | Surgery | 136 Fieldpoint Dr, Irvington, NY 10533-1858 | 2008-02-12 |
| 1104027366 | Sofia Yusuf Naz | Surgery | 199 Underhill St, Yonkers, NY 10710-3810 | 2007-05-29 |
| 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.