PAUL A. LUSMAN, M.D.P.C. (NPI# 1871598318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871598318 |
| Entity Type | Organization |
| Organization Name | PAUL A. LUSMAN, M.D.P.C. |
| Practice Address |
120 N Country Rd Port Jefferson NY 11777-2604 |
| Practice Telephone | 6319284990 |
| Practice Fax Number | 6319284992 |
| Mailing Telephone | 6319284990 |
| Mailing Fax Number | 6319284992 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL ALAN LUSMAN (PRESIDENT) |
| Authorized Official Telephone | 6319284990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 096648 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00393366 | 05 |
| Street Address |
120 N COUNTRY RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396865 | Jack M Greenwood | Psychiatry & Neurology | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2005-06-16 |
| 1659858744 | Deanna Amber Spence | Nurse Practitioner | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2018-07-23 |
| 1053438952 | Joan L Nathan | Nurse Practitioner | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2007-03-23 |
| 1568590115 | John T. Mather Memorial Hospital | General Acute Care Hospital | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2007-03-02 |
| 1134219124 | Jennifer Ancona | Physician Assistant | 120 N Country Rd, Suite 1, Port Jefferson, NY 11777-2604 | 2006-10-13 |
| 1194812479 | John T. Mather Memorial Hospital | Radiology | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2006-10-06 |
| 1538140785 | Robert G Roth | Psychiatry & Neurology | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2005-11-07 |
| 1083695233 | Katherine G Roth | Psychiatry & Neurology | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2005-11-07 |
| 1962400176 | Paul Alan Lusman | Allergy & Immunology | 120 N Country Rd, Suite 1, Port Jefferson, NY 11777-2604 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891231361 | Gabriella Perinuzzi | Specialist | 108 Birch Drive, Port Jefferson, NY 11777-1902 | 2017-01-09 |
| 1023469814 | Gregg Michael Knel | Specialist | 106 Nadia Ct, Port Jefferson, NY 11777-1432 | 2016-06-23 |
| 1184988974 | Lisa Ann Flanagan | Specialist | 105 Cliff Rd, Port Jefferson, NY 11777-1252 | 2012-06-27 |
| 1235491689 | Jennifer Crimmins | Specialist | 33 Vantage Ct, Port Jefferson, NY 11777-2292 | 2012-06-12 |
| 1063707339 | Pamela Caden | Specialist | 129 South St, Port Jefferson, NY 11777-1864 | 2011-06-15 |
| 1881997724 | Long Island Laparoscopic Surgery,p.l.l.c. | Specialist | 625 Belle Terre Road, Suite 202, Port Jefferson, NY 11777-2316 | 2010-12-15 |
| 1306085808 | Joseph Jehuda Neuschatz | Specialist | 42 Old Homestead Rd, Port Jefferson, NY 11777-1155 | 2009-02-07 |
| 1801891908 | Ajay V. Berdia | Specialist | 640 Belle Terre Road, Building H, Port Jefferson, NY 11777-0001 | 2005-06-15 |
| 1487657755 | Morton L Glaser | Specialist | 60 N Country Rd, Ste 203, Port Jefferson, NY 11777-2188 | 2005-05-31 |
| 1013329333 | Kathleen Lichtenberger | Specialist | 635 Belle Terre Rd, Ste 204, Port Jefferson, NY 11777-1977 | 2014-05-21 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.