NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC (NPI# 1710518097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710518097 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Practice Address |
1099 Targee St Staten Island NY 10304-4310 |
| Mailing Address |
444 Merrick Rd Lynbrook NY 11563-2460 |
| Practice Telephone | 7184483210 |
| Practice Fax Number | 7189842642 |
| Mailing Telephone | 5165362800 |
| Mailing Fax Number | 5165363947 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 5163216058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ORLIN & COHEN MEDICAL SPECIALISTS GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579580 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 222 E Middle Country Rd Ste 108, Smithtown, NY 11787-2814 | 2019-07-03 |
| 1184282139 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 788 Harrison Ave, Riverhead, NY 11901-2744 | 2019-06-04 |
| 1497255772 | North Shore-lij Cardiovascular Medicine PC | Physical Therapist | 36 Lincoln Ave Fl 3, Rockville Centre, NY 11570-5768 | 2018-02-13 |
| 1013548999 | North Shore-lij Cardiovascular Medicine PC | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-01-30 |
| 1265063499 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 3333 Hylan Blvd, Staten Island, NY 10306-3608 | 2020-01-27 |
| 1639713563 | North Shore-lij Cardiovascular Medicine PC | Pain Medicine | 1800 Walt Whitman Rd Ste 120, Melville, NY 11747-3237 | 2019-11-04 |
| 1982262903 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1500 Route 112, Port Jefferson Station, NY 11776-8054 | 2019-06-04 |
| 1285292201 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 635 Belle Terre Rd, Port Jefferson, NY 11777-1935 | 2019-06-04 |
| 1124686175 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 686 County Road 39a, Southampton, NY 11968-5703 | 2019-06-04 |
| 1760982870 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1728 Sunrise Hwy, Merrick, NY 11566-3745 | 2018-02-15 |
| Street Address |
1099 TARGEE ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275524043 | Elaina M Caporale | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2005-11-02 |
| 1720356850 | Irina Richardson | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2011-12-04 |
| 1922338334 | Steven Hsiao-liang Lin | Psychiatry & Neurology | 1099 Targee St, Staten Island, NY 10304-4310 | 2010-01-06 |
| 1528227857 | Lindsay Martino | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2008-06-02 |
| 1629279633 | Ami Raval | Neurological Surgery | 1099 Targee St, Staten Island, NY 10304 | 2007-05-29 |
| 1780805499 | Lisa Signorile | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2007-05-01 |
| 1013036409 | Michael S Hood | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2007-03-28 |
| 1851475776 | Dmitriy Reznik | Physician Assistant | 1099 Targee St, Staten Island, NY 10304-4310 | 2006-10-25 |
| 1740264332 | Healthcare Associates In Medicine PC | Anesthesiology | 1099 Targee St, Healthcare Associates In Medicine PC, Staten Island, NY 10304-4310 | 2005-12-06 |
| 1295718856 | Clare A Beagen-mchugh | Physician Assistant | 1099 Targee St, Healthcare Associates In Medicine, Staten Island, NY 10304-4310 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780955120 | Milan Kutanovski | Orthopaedic Surgery | 1000 Clove Rd, 10g, Staten Island, NY 10301-3647 | 2012-01-17 |
| 1518921055 | John C L'insalata | Orthopaedic Surgery | 25 Manor Rd, Staten Island, NY 10310-2233 | 2006-04-13 |
| 1407819741 | Mark F Sherman | Orthopaedic Surgery | 1551 Richmond Rd, Staten Island, NY 10304 | 2006-04-08 |
| 1588646525 | David A Drucker | Orthopaedic Surgery | 1800 Clove Road, Staten Island, NY 10304-4401 | 2005-11-16 |
| 1336130673 | Vincent Ruggiero | Orthopaedic Surgery | 3333 Hylan Blvd, Staten Island, NY 10306-3608 | 2005-11-04 |
| 1861486243 | Armin Tehrany | Orthopaedic Surgery | 91 New Dorp Ln, Staten Island, NY 10306-2324 | 2005-08-31 |
| 1487654273 | Gregory Montalbano | Orthopaedic Surgery | 82 Lamberts Ln, Staten Island, NY 10314-7210 | 2005-07-22 |
| 1871110403 | Mfs Orthopedics PC | Orthopaedic Surgery | 2052 Richmond Rd, Staten Island, NY 10306-2583 | 2020-06-30 |
| 1528534443 | Cary B Chapman Md Pllc | Orthopaedic Surgery | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2018-10-18 |
| 1881038016 | Orthopedic Associates Urgent Care | Orthopaedic Surgery | 3333 Hylan Blvd, Staten Island, NY 10306-3608 | 2013-04-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC.
| 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.