SOUTH NASSAU OBSTETRICS & GYNECOLOGY, PC (NPI# 1043570286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043570286 |
| Entity Type | Organization |
| Organization Name | SOUTH NASSAU OBSTETRICS & GYNECOLOGY, PC |
| Practice Address |
1 S Central Ave Valley Stream NY 11580-5443 |
| Mailing Address |
1 Healthy Way Oceanside NY 11572-1551 |
| Practice Telephone | 5166323350 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | MARK BOGEN (CFO) |
| Authorized Official Telephone | 5166323965 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH NASSAU COMMUNITIES HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Street Address |
1 S CENTRAL AVE |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-5443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347601 | Rajiv Datta | Surgery | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2005-09-23 |
| 1104200641 | South Nassau Physicians PC | Surgery | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2015-07-15 |
| 1083055958 | Hideo Takahashi | Surgery | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2013-07-08 |
| 1427360304 | Kathleen Anne Lehmann | Nurse Practitioner | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2010-07-08 |
| 1962652685 | South Nassau Physician Practice PC | Surgery | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2008-09-30 |
| 1285899583 | Long Island Medical Oncology & Hematology Assoc. P.C. | Specialist | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2008-07-25 |
| 1932375755 | Abbe Nadel | Nurse Practitioner | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2008-05-01 |
| 1285765156 | Nancy T Rosenthal | Nurse Practitioner | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2007-03-09 |
| 1518982610 | Olga Liberman | Specialist | 1 S Central Ave, Valley Stream, NY 11580-5443 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841675287 | Nezhat Surgery for Gynecology/oncology, Pllc | Obstetrics & Gynecology | 70 E Sunrise Hwy Ste 515w, Valley Stream, NY 11581-1233 | 2015-07-28 |
| 1336375351 | Health Care for Women, Pllc | Obstetrics & Gynecology | 300 Stuart Ave, Valley Stream, NY 11580-1047 | 2009-06-04 |
| 1558406215 | Maria E Levada | Obstetrics & Gynecology | 20 W Lincoln Ave, Suite 101, Valley Stream, NY 11580-5730 | 2007-02-21 |
| 1639126451 | Hildy A Saperstein | Obstetrics & Gynecology | 260 W Sunrise Hwy, 200, Valley Stream, NY 11581-1011 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370975 | Legacy Gynecology Pllc | Obstetrics & Gynecology | 136 Maple Rd, Amherst, NY 14221-2922 | 2020-09-11 |
| 1700494143 | Neighborhood Family Medicine | Obstetrics & Gynecology | 50 Front St, Binghamton, NY 13905-4708 | 2020-07-22 |
| 1467070029 | Electra Health Medical PC | Obstetrics & Gynecology | 335 Madison Ave Fl 3, New York, NY 10017-4616 | 2020-07-10 |
| 1164048021 | Park East Medical Pllc | Obstetrics & Gynecology | 870 5th Ave Apt 1b, New York, NY 10065-4907 | 2020-06-17 |
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1861955858 | New H Medical, P.C. | Obstetrics & Gynecology | 1150 Park Ave Ste 1a, New York, NY 10128-1244 | 2019-04-08 |
| 1851857379 | Broadway Gyn Office, P.c | Obstetrics & Gynecology | 4915 Broadway # 1-k, New York, NY 10034-3119 | 2019-02-20 |
| 1841755063 | Elizabeth Anne Mancuso | Obstetrics & Gynecology | 3 E 69th St, New York, NY 10021-5249 | 2019-02-01 |
| 1699239251 | Gynecology and Integrative Women's Care | Obstetrics & Gynecology | 30 E 23rd St Fl 7, New York, NY 10010-4440 | 2019-01-29 |
| 1699248542 | Great Wall Medical, P.C. | Obstetrics & Gynecology | 201e 28th Street, Suite #1b, New York, NY 10016 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on SOUTH NASSAU OBSTETRICS & GYNECOLOGY, 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.