NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE


Address: 59 Southern Blvd, Nesconset, NY 11767-1090
Phone: 6316591700

NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1962646091) 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) 1962646091
Entity Type Organization
Organization Name NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Practice Address 59 Southern Blvd
Nesconset
NY 11767-1090
Practice Telephone 6316591700
Practice Fax Number 6316591750
Mailing Telephone 6316591700
Mailing Fax Number 6316591750
Enumeration Date 2009-04-20
Last Update Date 2012-11-08
Authorized Official Name MS. JANET STREET (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 6313513703
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669854824 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 1436 Broadway, Hewlett, NY 11557-1405 2015-06-24
1497150098 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 61 E Main St, Bay Shore, NY 11706-8366 2014-10-27
1598199432 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 61 Southern Blvd, Nesconset, NY 11767-1089 2013-08-28
1245586528 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 2012-07-24
1164623278 North Shore Medical Group of The Mount Sinai School of Medicine Dermatology 775 Park Ave, Huntington, NY 11743-3976 2007-05-29
1144431701 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 66 Commack Rd, Commack, NY 11725-3405 2007-05-25
1649382532 North Shore Medical Group of The Mount Sinai School of Medicine Allergy & Immunology 241 E Main St, Huntington, NY 11743-2924 2006-08-31
1902918899 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 120 New York Ave, Huntington, NY 11743-2743 2006-08-31
1275640609 North Shore Medical Group of The Mount Sinai School of Medicine Psychiatry & Neurology 5 Cuba Hill Rd, Greenlawn, NY 11740-1624 2006-08-23

Office Location

Street Address 59 SOUTHERN BLVD
City NESCONSET
State NY
Zip Code 11767-1090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588662829 Augustus G Mantia Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2005-07-11
1659677037 Mount Sinai North Shore Medical Group Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2011-02-02
1841436458 Barbara Lynn Stumacher Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2009-01-02
1952547945 David Henry Oustecky Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2008-12-23
1265616452 Lori Weber Nurse Practitioner 59 Southern Blvd, Nesconset, NY 11767-1090 2007-12-24
1669535845 Harley J Cohen Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2006-12-18
1316957707 Joanne M. Kechejian Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2006-08-08
1871520049 Glenn Rosett Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2006-06-26
1184660003 Marilena Mirica Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2006-06-20
1477598308 Andrew Radzik Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2006-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487183877 Robert Walter Hickey Pharmacist 115 Sheppard Ln, Nesconset, NY 11767 2017-06-08
1730621517 James Remien Massage Therapist 62 Lake Ave South, Suite C, Nesconset, NY 11767 2016-11-10
1063788578 Stacy Lynne Heuschneider Nurse Practitioner 48 Locust Drive, Nesconset, NY 11767 2012-03-29
1538485511 Christina Ferlise-clark Social Worker 206 Nichols Rd, Nesconset, NY 11767 2010-04-15
1982843017 Sharon Frances Devivo Registered Nurse 45 Rockey Point Road, Middle Island, NY 11767 2009-02-12
1649429523 Justin Tate Occupational Therapist 14 Suburban Lane, Nesconset, NY 11767 2008-09-16
1386801520 Helene Ann Hopkins Farley Registered Nurse 65 Tiffany Way, Nesconset, NY 11767 2008-05-16
1992978456 Independent Group Home Living Nursing Facility/Intermediate Care Facility 200 A Gibbs Pond Rd, Nesconset, NY 11767 2008-04-07
1205019403 Sherrie Glasser Physical Therapy/john Douglas Pta Specialist 5 Browns Rd, Nesconset, NY 11767 2007-12-11
1710109665 Chiropractic Associates of Long Island PC Chiropractor 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 2007-05-02
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891816245 Syeda Tanzia Hossain Internal Medicine 61 Southern Blvd, Nesconset, NY 11767-1089 2007-04-03
1598199432 North Shore Medical Group of The Mount Sinai School of Medicine Internal Medicine 61 Southern Blvd, Nesconset, NY 11767-1089 2013-08-28
1659677037 Mount Sinai North Shore Medical Group Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2011-02-02
1952547945 David Henry Oustecky Internal Medicine 59 Southern Blvd, Nesconset, NY 11767-1090 2008-12-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326645870 Gastro 2020 Pllc Internal Medicine 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 2020-10-07
1457963241 Medical Services of Uniondale, PC Internal Medicine 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 2020-08-21
1619586419 Kazbay Medical Pllc Internal Medicine 83 Salierno Rd, Tuxedo Park, NY 10987-4712 2020-07-28
1487279725 Akifa Samdani, Md PC Internal Medicine 120 E 86th St # 2b, New York, NY 10028-1062 2020-06-12
1326673559 Jack Husney Md P.C. Internal Medicine 2228 E 8th St, Brooklyn, NY 11223-4944 2020-03-09
1669005690 Ron Porat Jankelson Internal Medicine 200 E 64th St Apt 10b, New York, NY 10065-7441 2020-02-18
1891345666 Jrr Medical PC Internal Medicine 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 2019-09-13
1497218762 Rudoy Medical PC Internal Medicine 2644 E 19th St, Brooklyn, NY 11235-3303 2019-04-12
1194287235 Ng Medical Brooklyn Pllc Internal Medicine 943 60th St # C1, Brooklyn, NY 11219-4871 2019-04-05
1144786682 Health Quest Medical Practice, PC Internal Medicine 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 2019-02-20
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Competitor

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City NESCONSET
Zip Code 11767

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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