NASSAU-SUFFOLK MEDICAL SERVICES, P.C. (NPI# 1972914596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972914596 |
| Entity Type | Organization |
| Organization Name | NASSAU-SUFFOLK MEDICAL SERVICES, P.C. |
| Practice Address |
1175 Montauk Hwy Suite 6 West Islip NY 11795-4939 |
| Practice Telephone | 6314225371 |
| Practice Fax Number | 6318938012 |
| Mailing Telephone | 6314225371 |
| Mailing Fax Number | 6318938012 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | KEVIN MULLINS (PRESIDENT) |
| Authorized Official Telephone | 6314225371 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 265787 | NY | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
261853 | NY | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
265787 | NY | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 190377 | NY | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | 261853 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NASSAU-SUFFOLK MEDICAL SERVICES, P.C. | 1175 Montauk Highway Suite 6, West Islip, Ny 117954939 |
| Street Address |
1175 MONTAUK HWY SUITE 6 |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309037 | Rajkumar G Mariwalla | Internal Medicine | 1175 Montauk Hwy, Suite #3, West Islip, NY 11795-4939 | 2006-01-02 |
| 1669014197 | Amit Sharma Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-10-16 |
| 1811548142 | Eric Fanaee Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-09-27 |
| 1609423821 | Kelly Heraghty | Nurse Practitioner | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2019-08-22 |
| 1669943510 | Carolann Sutherland | Physician Assistant | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2018-12-17 |
| 1841717618 | George Kakoulides Md PC | Neurological Surgery | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2017-08-23 |
| 1457741035 | Rajesh Mariwalla, Md PC | Pediatrics | 1175 Montauk Hwy, Suite 4, West Islip, NY 11795-4939 | 2015-02-03 |
| 1346656105 | Long Island Neurosurgical & Pain Specialists, Pllc | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-07-01 |
| 1922399757 | Eujenia Momchilova Darakchieva | Physician Assistant | 1175 Montauk Hwy, Suite 3, West Islip, NY 11795-4939 | 2011-04-27 |
| 1306165949 | Diana Besleaga | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2010-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871869305 | Suffolk Anesthesia Services Pllc | Anesthesiology | 471 Montauk Hwy, West Islip, NY 11795-4414 | 2012-03-29 |
| 1184945305 | Eric Fanaee | Anesthesiology | 1175 Montauk Highway, Suite 6, West Islip, NY 11795-4927 | 2010-06-22 |
| 1164407227 | Roxana Teodora Sacarin | Anesthesiology | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2005-12-13 |
| 1427666437 | Long Island Neuroscience Medical Consulting Pllc | Anesthesiology | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2020-07-15 |
| 1437562949 | Jaspreet Singh Toor | Anesthesiology | 1175 Montauk Hwy Ste 6, West Islip, NY 11795 | 2014-06-03 |
| 1760625461 | Sandeep Kumar Annam | Anesthesiology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2009-04-09 |
| 1386890960 | Boris Matusevich Physician PC | Anesthesiology | 1175 Montauk Hwy, Suite 3, West Islip, NY 11795 | 2008-08-14 |
| 1568663847 | Wai Gong Chin | Anesthesiology | 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795-4927 | 2007-05-31 |
| 1790803211 | Marc Andrew Soojian | Anesthesiology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2007-03-26 |
| 1902936784 | Rakesh Patel | Anesthesiology | 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795-4927 | 2007-03-07 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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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.