NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1144431701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144431701 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | NORTH SHORE MEDICAL GROUP |
| Practice Address |
66 Commack Rd Commack NY 11725-3405 |
| Practice Telephone | 6318817600 |
| Practice Fax Number | 6318817697 |
| Mailing Telephone | 6318817600 |
| Mailing Fax Number | 6318817697 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | JANET STREET (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6313513703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669854824 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2015-06-24 |
| 1497150098 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 61 E Main St, Bay Shore, NY 11706-8366 | 2014-10-27 |
| 1598199432 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 | 2013-08-28 |
| 1245586528 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 | 2012-07-24 |
| 1962646091 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2009-04-20 |
| 1164623278 | North Shore Medical Group of The Mount Sinai School of Medicine | Dermatology | 775 Park Ave, Huntington, NY 11743-3976 | 2007-05-29 |
| 1649382532 | North Shore Medical Group of The Mount Sinai School of Medicine | Allergy & Immunology | 241 E Main St, Huntington, NY 11743-2924 | 2006-08-31 |
| 1902918899 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 120 New York Ave, Huntington, NY 11743-2743 | 2006-08-31 |
| 1275640609 | North Shore Medical Group of The Mount Sinai School of Medicine | Psychiatry & Neurology | 5 Cuba Hill Rd, Greenlawn, NY 11740-1624 | 2006-08-23 |
| Street Address |
66 COMMACK RD |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841230042 | Robert M. Trepel | Psychiatry & Neurology | 66 Commack Rd, Suite 200, Commack, NY 11725-3405 | 2006-06-07 |
| 1922556802 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 66 Commack Rd, Suite 300, Commack, NY 11725-3405 | 2016-09-20 |
| 1639625775 | Elyse Victoria Tursi | Chiropractor | 66 Commack Rd, Commack, NY 11725-3405 | 2016-08-29 |
| 1881149177 | Stephanie Tinio | Physical Therapist | 66 Commack Rd, Suite 300, Commack, NY 11725-3405 | 2016-08-17 |
| 1366817652 | Victoria Wilson | Physical Therapist | 66 Commack Rd, Suite 300, Commack, NY 11725-3405 | 2015-12-11 |
| 1316348683 | Orthopedic Associates of Long Island LLP | Orthopaedic Surgery | 66 Commack Rd, Suite 306, Commack, NY 11725-3405 | 2014-09-05 |
| 1235554890 | Professional Orthopedic and Sports Physical Therapy PC | Physical Therapist | 66 Commack Rd, Suite 300, Commack, NY 11725-3405 | 2014-02-19 |
| 1336419704 | Lewis J Weinstein M D P C | Specialist | 66 Commack Rd, Suite 203, Commack, NY 11725-3405 | 2012-01-03 |
| 1104127653 | Julie Beth Gorowitz | Acupuncturist | 66 Commack Rd, Suite 101, Commack, NY 11725-3405 | 2010-11-14 |
| 1902050370 | Lp Wellness Chiropractic Pllc | Chiropractor | 66 Commack Rd, Commack, NY 11725-3405 | 2008-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972059384 | Mhroos Faik Barak Peters Physician P.C. | Internal Medicine | 6 Peacock Ln, Commack, NY 11725-4911 | 2016-08-27 |
| 1194156612 | Devaraj Jeyamitra | Internal Medicine | 22 Chardonnay Rd, Commack, NY 11725-1768 | 2013-12-09 |
| 1093014367 | Anna Lerner Angeles Md PC | Internal Medicine | 2171 Jericho Tpke Ste 300, Commack, NY 11725-2912 | 2011-03-25 |
| 1770801268 | Stephanie R Jones | Internal Medicine | 500 Commack Rd # Suie103, Commack, NY 11725-5020 | 2010-05-10 |
| 1043452501 | Asmita Satapathy | Internal Medicine | 777 Larkfield Rd Ste 1, Commack, NY 11725-3136 | 2009-03-30 |
| 1659431039 | Shamim A Begum | Internal Medicine | 45 Mall Drive, Suite 1liddso of Ny State, Commack, NY 11725-5700 | 2006-12-08 |
| 1154494003 | Mark Daryl Tieman | Internal Medicine | 356 Veterans Memorial Hwy, Commack, NY 11725-4332 | 2006-11-16 |
| 1154435576 | Comprehensive Island Medical Care LLC | Internal Medicine | 6080 Jericho Tpke Ste 205, Commack, NY 11725-2808 | 2006-08-19 |
| 1417975681 | Richard Steven Blum | Internal Medicine | 159 Indian Head Rd, Commack, NY 11725-2205 | 2006-07-17 |
| 1184664641 | Ronkonkoma Medical Care, Pllc | Internal Medicine | 2171 Jericho Tpke, Suite 304, Commack, NY 11725-2915 | 2006-06-06 |
| Find all providers in COMMACK | ||||
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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.