CS MEDICAL ASSOCIATES, P.C. (NPI# 1548820608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548820608 |
Entity Type | Organization |
Organization Name | CS MEDICAL ASSOCIATES, P.C. |
Other Organization Name | VICTORY RECOVERY PARTNERS |
Practice Address |
727 N Broadway Ste B1 Massapequa NY 11758-2348 |
Mailing Address |
100 Granny Rd Ste 1 Farmingville NY 11738-2879 |
Practice Telephone | 6316964357 |
Mailing Telephone | 6316964357 |
Enumeration Date | 2019-06-19 |
Last Update Date | 2020-04-05 |
Authorized Official Name | TRACEY WALLACE (VP OPERATIONS) |
Authorized Official Telephone | 6316964357 |
Is Organization Subpart | Y |
Parent Organization Name | CS MEDICAL ASSOCIATES, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Victory Recovery Partners | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346880960 | Cs Medical Associates, P.C. | Counselor | 2 Coraci Blvd Ste 15, Shirley, NY 11967-4833 | 2020-01-11 |
1043873417 | Cs Medical Associates, P.C. | 1228 E Main St Ste A, Riverhead, NY 11901-2677 | 2019-04-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CS MEDICAL ASSOCIATES, P.C. | 100 Granny Rd Ste 1, Farmingville, NY 11738-2879 |
New York State Corporations | CS MEDICAL ASSOCIATES, P.C. | 192 Lexington Ave 17th Floor, Attn: Joseph T. Pareres, New York, Ny 10016 |
Street Address |
727 N BROADWAY STE B1 |
City | MASSAPEQUA |
State | NY |
Zip Code | 11758-2348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
Find all providers in zip 11758 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1487139218 | Thrivee Inc | Clinic/Center | 88 Remsen St, Cohoes, NY 12047-2981 | 2018-09-27 |
1972013084 | Professional Counseling Services, Inc | Clinic/Center | 5700 W Genesee St Ste 118, Camillus, NY 13031-3217 | 2017-10-03 |
1760831119 | Vasuli Inc | Clinic/Center | 325 W 45th St, 812, New York, NY 10036-4191 | 2016-06-07 |
1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
1588066716 | Care Counseling Center, LLC | Clinic/Center | 214 W 116th St, New York, NY 10026-2494 | 2014-09-18 |
1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
1508272238 | Trinity of Chemung County | Clinic/Center | 150 Lake St Ste 2, Elmira, NY 14901-3401 | 2014-07-02 |
1093074825 | Community Counseling & Mediation | Clinic/Center | 367 E 7th St, Brooklyn, NY 11218-4105 | 2012-05-14 |
Find all providers with the same taxonomy |
City | MASSAPEQUA |
Zip Code | 11758 |
Please comment or provide details below to improve the information on CS MEDICAL ASSOCIATES, P.C..
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.