NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC (NPI# 1124686175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124686175 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Practice Address |
686 County Road 39a Southampton NY 11968-5703 |
| Mailing Address |
444 Merrick Rd Lynbrook NY 11563-2460 |
| Practice Telephone | 6312830355 |
| Practice Fax Number | 6312832084 |
| Mailing Telephone | 5165362800 |
| Mailing Fax Number | 5165363947 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CF(O) |
| Authorized Official Telephone | 5163216058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Orlin & Cohen Medical Specialists Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579580 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 222 E Middle Country Rd Ste 108, Smithtown, NY 11787-2814 | 2019-07-03 |
| 1184282139 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 788 Harrison Ave, Riverhead, NY 11901-2744 | 2019-06-04 |
| 1497255772 | North Shore-lij Cardiovascular Medicine PC | Physical Therapist | 36 Lincoln Ave Fl 3, Rockville Centre, NY 11570-5768 | 2018-02-13 |
| 1013548999 | North Shore-lij Cardiovascular Medicine PC | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-01-30 |
| 1265063499 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 3333 Hylan Blvd, Staten Island, NY 10306-3608 | 2020-01-27 |
| 1710518097 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1099 Targee St, Staten Island, NY 10304-4310 | 2020-01-27 |
| 1639713563 | North Shore-lij Cardiovascular Medicine PC | Pain Medicine | 1800 Walt Whitman Rd Ste 120, Melville, NY 11747-3237 | 2019-11-04 |
| 1982262903 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1500 Route 112, Port Jefferson Station, NY 11776-8054 | 2019-06-04 |
| 1285292201 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 635 Belle Terre Rd, Port Jefferson, NY 11777-1935 | 2019-06-04 |
| 1760982870 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1728 Sunrise Hwy, Merrick, NY 11566-3745 | 2018-02-15 |
| Street Address |
686 COUNTY ROAD 39A |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053462937 | James Brady | Plastic Surgery | 686 County Road 39a, Building 2, Southampton, NY 11968-5703 | 2007-01-16 |
| 1982144911 | Jacqueline Anne Shaw | Physician Assistant | 686 County Road 39a, Southampton, NY 11968-5703 | 2017-02-23 |
| 1689968125 | June Chanyasulkit Halsey | Orthopaedic Surgery | 686 County Road 39a, Southampton, NY 11968-5703 | 2011-06-01 |
| 1689810335 | James A Brady Md PC | Plastic Surgery | 686 County Road 39a, Building 2, Southampton, NY 11968-5703 | 2008-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316957848 | John D Hubbell | Orthopaedic Surgery | 315 Meeting House, Southampton, NY 11968 | 2006-08-08 |
| 1225008659 | Suburban Orthopaedic Specialists | Orthopaedic Surgery | 283 2nd Street Pike, Suite 120, Southampton, PA 18966-3823 | 2006-01-26 |
| 1548255169 | David E Reinhardt | Orthopaedic Surgery | 283 2nd Street Pike Ste 120, Southampton, PA 18966-3823 | 2005-09-20 |
| 1083614705 | Robert E Mannherz | Orthopaedic Surgery | 283 Second Street Pike, Suite 120, Southampton, PA 18966-3823 | 2005-07-22 |
| 1841753365 | Pennsylvania Regional Orthopedics LLC | Orthopaedic Surgery | 283 2nd Street Pike Ste 120, Southampton, PA 18966-3823 | 2019-04-11 |
| 1689968125 | June Chanyasulkit Halsey | Orthopaedic Surgery | 686 County Road 39a, Southampton, NY 11968-5703 | 2011-06-01 |
| 1588665152 | Anthony W Salem | Orthopaedic Surgery | 283 Second Street Pike, Suite 120, Southampton, PA 18966-3823 | 2005-08-09 |
| 1912907643 | Leonard A Brody | Orthopaedic Surgery | 283 Second Street Pike, Suite 120, Southampton, PA 18966-3823 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330807 | Ny Orthopedics PC | Orthopaedic Surgery | 110 Duane Street, New York, NY 10007 | 2020-03-11 |
| 1770117483 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 5840 Merrick Rd, Massapequa, NY 11758-6225 | 2020-03-03 |
| 1669006375 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 77 N Centre Ave Ste 210, Rockville Centre, NY 11570-3923 | 2020-03-03 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1649801440 | Richard Allan Stram | Orthopaedic Surgery | 508 Murray Hill Rd, Vestal, NY 13850-3824 | 2020-01-30 |
| 1316594237 | Motaz Abdulrahman Alaqeel | Orthopaedic Surgery | 504 E 63rd St Apt 6s, New York, NY 10065-7912 | 2019-08-26 |
| 1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| 1528627866 | New York Orthopedic Hip & Knee Associates LLP | Orthopaedic Surgery | 25 Apawamis Ave, Rye, NY 10580-3528 | 2019-06-11 |
| 1396207528 | Ony Care of Ny II, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1b, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
Please comment or provide details below to improve the information on NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE 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.