EVERGREEN EAR, NOSE & THROAT SURGERY P.C. (NPI# 1982622817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982622817 |
| Entity Type | Organization |
| Organization Name | EVERGREEN EAR, NOSE & THROAT SURGERY P.C. |
| Practice Address |
728 E Park Ave Long Beach NY 11561-2605 |
| Mailing Address |
34 Farm Ln Great Neck NY 11020-1314 |
| Practice Telephone | 5164310700 |
| Practice Fax Number | 5167060622 |
| Mailing Telephone | 5165815099 |
| Mailing Fax Number | 5167060622 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | DR. SHEFALI SHAH (PRESIDENT) |
| Authorized Official Telephone | 5164310700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
728 E PARK AVE |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484020 | Shefali I. Shah | Otolaryngology | 728 E Park Ave, Long Beach, NY 11561-2605 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205173317 | Richard Stuart Egan | Otolaryngology | 310 Blue Cavern Point, Long Beach, CA 90803 | 2013-01-09 |
| 1982704086 | Daniel Joseph Pender | Otolaryngology | 325 East Park Avenue, Long Beach, NY 11561-0963 | 2006-09-25 |
| 1871743856 | Elder Audio Rehab Medical Group Inc | Otolaryngology | 4029 E Anaheim St, Long Beach, CA 90804-4110 | 2008-09-25 |
| 1124288493 | Alyn Kim | Otolaryngology | 433 E Wardlow Rd, Long Beach, CA 90807-4507 | 2008-06-11 |
| 1205989258 | Keith A Hurvitz | Otolaryngology | 6226 E Spring St, Suite 380, Long Beach, CA 90815-1423 | 2007-01-20 |
| 1548334295 | Ayal Willner | Otolaryngology | 433 E Wardlow Rd, Long Beach, CA 90807-4507 | 2006-11-17 |
| 1407920176 | Yoshpe & Willner Mds A Ca General Partnership | Otolaryngology | 433 E Wardlow Rd, Long Beach, CA 90807-4507 | 2006-11-17 |
| 1952475691 | Nina S Yoshpe | Otolaryngology | 433 E Wardlow Rd, Long Beach, CA 90807-4507 | 2006-11-17 |
| 1205937794 | Berkeley Eichel | Otolaryngology | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-09-26 |
| 1578667069 | John Wix Thomas IIi | Otolaryngology | 1703 Termino Ave, #210, Long Beach, CA 90804 | 2006-09-12 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
Please comment or provide details below to improve the information on EVERGREEN EAR, NOSE & THROAT SURGERY P.C..
| 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.