CS MEDICAL ASSOCIATES, P.C.


Address: 727 N Broadway Ste B1, Massapequa, NY 11758-2348
Phone: 6316964357

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).

Provider Overview

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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Victory Recovery Partners Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 727 N BROADWAY STE B1
City MASSAPEQUA
State NY
Zip Code 11758-2348

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City MASSAPEQUA
Zip Code 11758

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Dataset Information

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.

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