Rachel Gordon (NPI# 1063703650, PAC ID# 3274527551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1063703650 |
| PAC ID by PECOS | 3274527551 |
| Professional Enrollment ID | I20171010000097 |
| Full Name | Rachel Gordon |
| Organization Legal Name | ISLAND SURGICAL AND VASCULAR GROUP, P.C. |
| Address |
15 Park Ave Bay Shore NY 11706-7381 |
| Phone Number | 6315814400 |
| Gender | F |
| Credential | CNM |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6204727647 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 Park Ave, Bay Shore, NY 11706-7381 | 6315814400 | ISLAND SURGICAL AND VASCULAR GROUP, P.C. |
| Organization Legal Name | ISLAND SURGICAL AND VASCULAR GROUP, P.C. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sang Jho | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Bradley D Cohen | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Reena Nandita Tahilramani | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Tina Joseph | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Manal Hegazy | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Charles A Larosa | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Christine A Fanelli | Nurse Practitioner | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Frederick Achildiev | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Alexander S Melman | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Street Address |
15 PARK AVE |
| City | BAY SHORE |
| State | NY |
| Zip | 11706-7381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sang Jho | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Bradley D Cohen | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Reena Nandita Tahilramani | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Tina Joseph | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Manal Hegazy | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Charles A Larosa | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Christine A Fanelli | Nurse Practitioner | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Frederick Achildiev | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Alexander S Melman | General Surgery | Island Surgical and Vascular Group, P.C. | 15 Park Ave, Bay Shore, NY 11706-7381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joelle M Efthimiou | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Michael I Friedman | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Jennifer L Mcdonough | Clinical Social Worker | Laura E Asner Csw PC | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| William C Skojec | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Tyra D Gonzalez | Clinical Social Worker | Laura E Asner Csw PC | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Amber Testa | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Lisa G Baron | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Laura E Asner | Clinical Social Worker | Laura E Asner Csw PC | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Arthur Sullivan | Psychologist, Clinical | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Philip D Goldstein | Clinical Psychologist | Behavioral Health Psychological and Lmsw Services Pllc | 260 Montauk Hwy 8, Bay Shore, NY 11706 |
| Find all physicians in zip 11706 | |||
| City | BAY SHORE |
| Zip Code | 11706 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BAY SHORE + GENERAL SURGERY |
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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.