SELFTEST INC. (NPI# 1730626748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730626748 |
| Entity Type | Organization |
| Organization Name | SELFTEST INC. |
| Practice Address |
18 Beach Ave Northport NY 11768-2803 |
| Practice Telephone | 6317548576 |
| Mailing Telephone | 6317548576 |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |
| Authorized Official Name | RICHARD STEPHEN BLUME (PRESIDENT) |
| Authorized Official Telephone | 6317548576 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
168917 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
18 BEACH AVE |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1659876092 | Healthstat Onsite Hbo Hauppauge | Preventive Medicine | 300 New Hwy, Hauppauge, NY 11788-2017 | 2018-03-28 |
| 1740785187 | Healthstat Onsite Hbo Ny | Preventive Medicine | 1100 Avenue of The Americas, New York, NY 10036-6712 | 2018-03-28 |
| 1033622857 | Russell Karp Md Functional Medicine Pllc | Preventive Medicine | 23 Croft Rd, Poughkeepsie, NY 12603-4917 | 2017-11-15 |
| 1962842336 | David Pratt | Preventive Medicine | 999 Grooms Rd, Rexford, NY 12148-1306 | 2013-07-01 |
| 1760723969 | Healthstat On-site Clinic/farm Family | Preventive Medicine | 344 Route 9w, Glenmont, NY 12077-2910 | 2013-03-13 |
| 1508124553 | Faculty Practice Associates Mount Sinai School of Medicine | Preventive Medicine | 345 E 102nd St Suite 215, New York, NY 10029-5611 | 2012-04-27 |
| 1134378896 | Susan M. Daum | Preventive Medicine | 16 E 96th St, 5a, New York, NY 10128-0753 | 2008-09-17 |
| 1851551519 | Isadora Guggenheim | Preventive Medicine | 8 Rockland Place, Nyack, NY 10960 | 2008-06-16 |
| 1679750905 | Nayyera Malik | Preventive Medicine | 340 W 85th St # 810, New York, NY 10024-6265 | 2008-01-29 |
| 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.