SOUTH NASSAU DERMATOLOGY P.C. (NPI# 1144272899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144272899 |
| Entity Type | Organization |
| Organization Name | SOUTH NASSAU DERMATOLOGY P.C. |
| Practice Address |
258 Merrick Rd Oceanside NY 11572 |
| Mailing Address |
258 Merrick Rd Oceanside NY 11572-1427 |
| Practice Telephone | 5167660345 |
| Practice Fax Number | 5167664690 |
| Mailing Telephone | 5167660345 |
| Mailing Fax Number | 5167664690 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | CARL M LEICHTER (PRESIDENT) |
| Authorized Official Telephone | 5167660345 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 126210 | NY | Other Service Providers |
| Street Address |
258 MERRICK RD |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167242 | Russell W Cohen | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-07-07 |
| 1417273988 | Elie B Lowenstein | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2010-04-08 |
| 1932379690 | Sari Beth Weinstein | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2008-03-08 |
| 1841415197 | Roxanne Judith Abitbol | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2007-04-13 |
| 1780674184 | Mark Silverman | Specialist | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-10-26 |
| 1275531857 | Michael Cohen | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-07-08 |
| 1285631176 | Barrett Eisenstat | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-07-07 |
| 1336146232 | Craig Kornreich | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-07-07 |
| 1003813916 | Eve Lowenstein | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439690 | Suzanne Schultz | Specialist | 159 Virginia Ave, Oceanside, NY 11572-5432 | 2019-10-24 |
| 1104487834 | Carolyn Grossman | Specialist | 3983 Carrel Blvd, Oceanside, NY 11572-5967 | 2019-06-24 |
| 1912561614 | Ada M Harris | Specialist | 108a Merle Ave, Oceanside, NY 11572-2235 | 2019-04-28 |
| 1649759663 | Deirdre Lee Harpur | Specialist | 3135 Ralph Ave, Oceanside, NY 11572-4420 | 2018-08-09 |
| 1033602594 | Maureen Greco-blois | Specialist | 567 Derby Dr N, Oceanside, NY 11572-2613 | 2018-06-10 |
| 1467945188 | Angela Anne Miller | Specialist | 3006 Trinity St, Oceanside, NY 11572-3224 | 2018-06-07 |
| 1972000859 | Melanie Greene | Specialist | 28 Court St, Oceanside, NY 11572-2012 | 2018-04-09 |
| 1376041376 | Sharon Sue Gordon | Specialist | 175 W Windsor Pkwy, Oceanside, NY 11572-3934 | 2018-01-25 |
| 1295249597 | Jenelle Patricia Christian | Specialist | 3809 Plaza Dr Ste 112, Oceanside, CA 92056-4625 | 2017-11-22 |
| 1164949848 | Luigina Demarco | Specialist | 2434 Westlake Ave, Oceanside, NY 11572-1745 | 2017-08-24 |
| Find all providers in OCEANSIDE | ||||
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| 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.