Eli Serur (NPI# 1104995356, PAC ID# 2163597477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GYNECOLOGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1104995356 |
| PAC ID by PECOS | 2163597477 |
| Professional Enrollment ID | I20080821000359 |
| Full Name | Eli Serur |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
256 Mason Ave B Staten Island NY 10305-3408 |
| Phone Number | 7182261293 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GYNECOLOGICAL ONCOLOGY |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330160 | STATEN ISLAND UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8417 Fort Hamilton Pkwy, Brooklyn, NY 11209-4805 | 7189667333 | NORTH SHORE-LIJ MEDICAL PC |
| 256 Mason Ave, B, Staten Island, NY 10305-3408 | 7182261293 | NORTH SHORE-LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Physicians | 3634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
| Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
| Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
| Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
| Henny Liwan | Obstetrics/gynecology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
| Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
| Street Address |
256 MASON AVE B |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10305-3408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ezemonye O Madu | Diagnostic Radiology | North Shore-lij Medical PC | 256 Mason Ave, Staten Island, NY 10305-3408 |
| Maria Domante | Physician Assistant | Physicians of University Hospital PC | 256 Mason Ave, Staten Island, NY 10305-3408 |
| Randin C Nelson | Pathology | Physicians of University Hospital PC | 256 Mason Ave, Staten Island, NY 10305-3408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Dc Dolan | Chiropractic | 121 Prakinson Ave S, Staten Island, NY 10305 | |
| Michelle Zhubrak | Podiatry | 175 Zoe St, 3m, Staten Island, NY 10305-1129 | |
| Charles G Bernstein | Dermatology | 244 Buel Ave, Fl 2, Staten Island, NY 10305-1204 | |
| John Zafaranloo | Internal Medicine | 235 Dongan Hills Ave, Suite 2a, Staten Island, NY 10305-1224 | |
| Wojciech Skrzypiec | Critical Care (intensivists) | 235 Dongan Hills Ave, 2e, Staten Island, NY 10305-1224 | |
| Suying L Song | Neurology | 212 Garretson Ave, Staten Island, NY 10305-1234 | |
| Antoinette Cavalenes Joyce | Clinical Social Worker | 290 Garreston Ave, Staten Island, NY 10305-1236 | |
| Frank Raimondo | Clinical Social Worker | 290 Garretson Ave, Suite 2, Staten Island, NY 10305-1236 | |
| Julia S Tapley | Clinical Social Worker | 290 Garretson Ave, Apt 2, Staten Island, NY 10305-1269 | |
| Saverio Acquafredda | Internal Medicine | 212 Cromwell Ave, Staten Island, NY 10305-1308 | |
| Find all physicians in zip 10305 | |||
| City | STATEN ISLAND |
| Zip Code | 10305 |
| Specialty | GYNECOLOGICAL ONCOLOGY |
| City + Specialty | STATEN ISLAND + GYNECOLOGICAL ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.