307 LONG ISLAND MEDICAL PC (NPI# 1023206026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023206026 |
| Entity Type | Organization |
| Organization Name | 307 LONG ISLAND MEDICAL PC |
| Practice Address |
307 E Shore Rd 2nd Floor Great Neck NY 11023-2420 |
| Practice Telephone | 5164875858 |
| Practice Fax Number | 5164873133 |
| Mailing Telephone | 5164875858 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | MRS. SHANTA MALLIKARJUNA (OFFICE MANAGER) |
| Authorized Official Telephone | 15164875858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 227976-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
307 E SHORE RD 2ND FLOOR |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346250024 | Raymond Anythony Diaz | Internal Medicine | 307 E Shore Rd, 2nd Floor, Great Neck, NY 11023-2420 | 2006-08-08 |
| 1629362330 | Raymond A Diaz M D PC | Internal Medicine | 307 E Shore Rd, 2nd Floor, Great Neck, NY 11023-2420 | 2011-05-31 |
| 1083828412 | Vista Medical P.C. | Anesthesiology | 307 E Shore Rd, 2nd Floor, Great Neck, NY 11023-2420 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| Find all providers in zip 11023 | ||||
| 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 |
|---|---|---|---|---|
| 1043771363 | Aristocrat Perioperative Medical Services PC | Anesthesiology | 560 Northern Blvd Ste 109, Great Neck, NY 11021-5100 | 2019-03-28 |
| 1194211441 | Chung B Park Physician PC | Anesthesiology | 900 Northern Blvd Ste 140, Great Neck, NY 11021-5302 | 2018-07-10 |
| 1861942187 | Daniel Bassiri Md Pllc | Anesthesiology | 100 Wildwood Rd, Great Neck, NY 11024-1223 | 2016-10-11 |
| 1205278983 | Babak Balakhaneh | Anesthesiology | 18 Woodland Pl, Great Neck, NY 11021-1027 | 2013-07-23 |
| 1083916571 | Prehealthcare Management Associates Inc. | Anesthesiology | 307 E Shore Rd Fl 2, Great Neck, NY 11023-2420 | 2010-12-03 |
| 1578893038 | Ans Medical Pllc | Anesthesiology | 8 N Circle Dr, Great Neck, NY 11021-1709 | 2010-01-06 |
| 1467659532 | Marke Banchik, Md PC | Anesthesiology | 11 Gateway Dr, Great Neck, NY 11021-1924 | 2007-06-30 |
| 1043385933 | Ricky Zegelstein | Anesthesiology | 65a Beverly Rd, Great Neck, NY 11021-1616 | 2006-11-24 |
| 1144322926 | Ashalatha Kesavankutty Nair | Anesthesiology | 6 Lodge Rd, Great Neck, NY 11021-3912 | 2006-09-02 |
| 1144276700 | Long Island Medical Anesthesiology P C | Anesthesiology | 192 E Shore Rd, Great Neck, NY 11023-2416 | 2006-05-25 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
Please comment or provide details below to improve the information on 307 LONG ISLAND MEDICAL PC.
| 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.