NASSAU PULMONARY & CRITICAL CARE MEDICINE PC


Address: 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5334
Phone: 5167736300

NASSAU PULMONARY & CRITICAL CARE MEDICINE PC (NPI# 1942415286) 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) 1942415286
Entity Type Organization
Organization Name NASSAU PULMONARY & CRITICAL CARE MEDICINE PC
Practice Address 891 Northern Blvd
Suite 203
Great Neck
NY 11021-5334
Mailing Address 891 Northern Blvd
Suite 203
Great Neck
NY 11021-5305
Practice Telephone 5167736300
Practice Fax Number 5167064700
Mailing Telephone 5167736300
Mailing Fax Number 5167064700
Enumeration Date 2007-05-11
Last Update Date 2014-10-29
Authorized Official Name DR. MITCHEL C JACOBS (OWNER)
Authorized Official Telephone 5167736300
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 891 NORTHERN BLVD
SUITE 203
City GREAT NECK
State NY
Zip Code 11021-5334

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669587713 Lisa Desjardins-ritchie Registered Nurse 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5334 2006-08-20
1972122356 Toni-marie Pernick Internal Medicine 891 Northern Blvd, Great Neck, NY 11021-5334 2020-04-15
1255808796 Stephanie Ragone Nurse Practitioner 891 Northern Blvd, Great Neck, NY 11021-5334 2018-11-01
1487006177 Thoracicsurgical Specialist PC Thoracic Surgery (Cardiothoracic Vascular Surgery) 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5334 2016-07-06
1992108138 Kadkade Md Pllc Internal Medicine 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5334 2014-10-02
1003078619 Melissa S Devlin Internal Medicine 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5334 2008-06-26
1144380205 Mitchel Jacobs Internal Medicine 891 Northern Blvd, Suite 203, Great Neck, NY 11021-5334 2006-12-11

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NPI Name Taxonomy Address Enumeration
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1366929267 Vishva Vajra Acupuncture PC Acupuncturist 23a Middle Neck Road, Great Neck, NY 11021 2018-07-24
1518457530 Assured Quality Home Care, Inc. In Home Supportive Care 885 Northern Blvd., Greak Neck, NY 11021 2018-05-15
1881183275 Liat Mindy Brody Occupational Therapist 7 Hickory Dr, Great Neck, NY 11021 2018-05-01
1457853707 Allison Squillace Social Worker 7 Bond Suite 1a, Great Neck, NY 11021 2018-03-02
1275042855 Seolhee Kang Acupuncturist 26 Linden Street, Apt 4c, Great Neck, NY 11021 2017-09-26
1346781598 Sara Dreiblatt Speech-Language Pathologist 211-45 46th Road, Queens, NY 11021 2017-03-20
1962853416 Darron Yelling Do, PC Surgery 305 Northen Blvd, 105, Great Neck, NY 11021 2016-06-27
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326519083 Nelida Barrera Specialist 9 Northern Blvd, Great Neck, NY 11021-4044 2018-12-06
1558831859 Wen-ling Lee Specialist 1 E Mill Dr Apt 2a, Great Neck, NY 11021-4077 2018-11-29
1386110864 Rebecca Abigail Soleimani Specialist 19 N Clover Dr, Great Neck, NY 11021-1013 2018-10-22
1285114827 Joshua Hakimian Specialist 20 Hicks Ln, Great Neck, NY 11024-1937 2018-08-14
1982191144 Milko Aminian Specialist 11 Woodbourne Rd, Great Neck, NY 11023-1318 2018-04-13
1104367176 Jessica Lin Specialist 4515 Westminster Rd, Great Neck, NY 11020-1050 2017-03-10
1326582610 Firoozeh Bandanzadeh Specialist 45 Ellard Ave, Great Neck, NY 11024-2036 2016-12-06
1851834451 Allison Unger Specialist 14 Stoner Ave, Apartment 3j, Great Neck, NY 11021-2101 2016-11-30
1386190940 Deborah Namdar Specialist 101 Hampshire Rd, Great Neck, NY 11023-1230 2016-09-01
1881064434 Esther Lebto Specialist 10 Devon Rd, Great Neck, NY 11023-2317 2015-09-25
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Competitor

Search similar providers

City GREAT NECK
Zip Code 11021

Improve Information

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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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