Henry G Moreta (NPI# 1922084466, PAC ID# 2466349485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1922084466 |
| PAC ID by PECOS | 2466349485 |
| Professional Enrollment ID | I20111114000566 |
| Full Name | Henry G Moreta |
| Organization Legal Name | SOUTH SHORE NEUROLOGIC ASSOCIATES, PC |
| Address |
77 Medford Ave Patchogue NY 11772-1281 |
| Phone Number | 6316545555 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 5092602110 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330107 | PECONIC BAY MEDICAL CENTER |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 77 Medford Ave, Patchogue, NY 11772-1281 | 6316545555 | SOUTH SHORE NEUROLOGIC ASSOCIATES, PC |
| 877 E Main St, Suite 106, Riverhead, NY 11901-2521 | 6317270660 | SOUTH SHORE NEUROLOGIC ASSOCIATES, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SOUTH SHORE NEUROLOGIC ASSOCIATES, PC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Mangels | Chiropractic | South Shore Neurologic Associates, PC | 877 E Main St, Suite 106, Riverhead, NY 11901-2521 |
| Imran Wahedna | Neurology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Myassar Zarif | Neurology | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Stephanie Lauren Vanschaick | Physical Therapy | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Selina A Williams | Nurse Practitioner | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Edward Firouztale | Neurology | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Barbara Bumstead | Nurse Practitioner | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Elissa H Kravis | Nurse Practitioner | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Hos C Loftus | Neurology | South Shore Neurologic Associates, PC | 712 Main St, Islip, NY 11751-3620 |
| Khondeker M Rahman | Anesthesiology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Street Address |
77 MEDFORD AVE |
| City | PATCHOGUE |
| State | NY |
| Zip | 11772-1281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Imran Wahedna | Neurology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Stephanie Lauren Vanschaick | Physical Therapy | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Khondeker M Rahman | Anesthesiology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Stacy Trebing | Physical Therapy | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Nicholas J Froiseth | Physical Therapy | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Norman Pflaster | Neurology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Patricia Grant | Nurse Practitioner | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Danielle Salomone | Nurse Practitioner | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Philippe Vaillancourt | Neurology | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Nicole M Aquino | Physical Therapy | South Shore Neurologic Associates, PC | 77 Medford Ave, Patchogue, NY 11772-1281 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Horvath | Clinical Social Worker | 18 Woodward Ave, Patchogue, NY 11772-1041 | |
| Shahin F Shaikh | Pulmonary Disease | 90 Medford Ave, Patchogue, NY 11772-1202 | |
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Sam M Fassnacht | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rose Orlando | Nurse Practitioner | 140 Medford Ave, Patchogue, NY 11772-1208 | |
| Frances P Redarrow | Clinical Social Worker | 20 Medford Ave, Suite 109, Patchogue, NY 11772-1220 | |
| Edward A Beller | Chiropractic | 268 Medford Ave, Patchogue, NY 11772-1221 | |
| Find all physicians in zip 11772 | |||
| City | PATCHOGUE |
| Zip Code | 11772 |
| Specialty | NEUROLOGY |
| City + Specialty | PATCHOGUE + NEUROLOGY |
Please comment or provide details below to improve the information on Henry G Moreta.
| 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.