NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC (NPI# 1144538331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144538331 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC |
| Practice Address |
2001 Marcus Ave Suite S50 New Hyde Park NY 11042-1011 |
| Practice Telephone | 5163289800 |
| Practice Fax Number | 5163289801 |
| Mailing Telephone | 5163289800 |
| Mailing Fax Number | 5163289801 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | SUSAN HARTMANN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5163289800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
195038 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
207067 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC | 1129 Northern Boulevard, Suite 402, Manhasset, Ny 11030 |
| Street Address |
2001 MARCUS AVE SUITE S50 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477071397 | Elizabeth Moses | Psychologist | 2001 Marcus Ave, New Hyde Park, NY 11042-2061 | 2017-08-30 |
| 1760914501 | Binju Bose | Family Medicine | 2001 Marcus Ave, New Hyde Park, NY 11042-2061 | 2017-03-31 |
| 1649717810 | Lighte | Internal Medicine | 2001 Marcus Ave, E130, New Hyde Park, NY 11042-2061 | 2017-01-26 |
| 1427594464 | Lighte Associates Pllc | Internal Medicine | 2001 Marcus Ave, N218, New Hyde Park, NY 11042-2061 | 2017-01-15 |
| 1184022121 | Christine Palladino | Registered Nurse | 2001 Marcus Ave, New Hyde Park, NY 11042-2061 | 2014-12-08 |
| 1417354929 | Queens-nassau Medical Associates PC | Internal Medicine | 2001 Marcus Ave, Suite W260, New Hyde Park, NY 11042-2061 | 2014-11-26 |
| 1477973196 | Elizabeth Gellman | Psychologist | 2001 Marcus Ave, E128, New Hyde Park, NY 11042-2061 | 2014-04-21 |
| 1740610757 | North Shore Long Island Jewish Health Care Inc | Allergy & Immunology | 2001 Marcus Ave, Suite N220, New Hyde Park, NY 11042-2061 | 2013-11-13 |
| 1174957617 | Celia Lu | Pharmacist | 2001 Marcus Ave, Suite S160, New Hyde Park, NY 11042-2061 | 2013-08-31 |
| 1942633094 | Nadia A Insanally | Psychologist | 2001 Marcus Ave, Suite E128, New Hyde Park, NY 11042-2061 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952698847 | Yana Etkin | Surgery | 1999 Marcus Ave Ste 106b, New Hyde Park, NY 11042-1028 | 2011-06-30 |
| 1336209477 | Mark Kissin | Surgery | Lijmc Dept. of Surgery Vascular Surgery, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1174694574 | Jon Cohen | Surgery | Lijmc-dept of Surgery, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-10 |
| 1225458144 | Kenneth Peter Walsh | Surgery | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2014-04-17 |
| 1649537374 | Jennifer Sooyon Chang | Surgery | 27005 76th Ave, Dept. of Surgery, New Hyde Park, NY 11040-1402 | 2012-04-19 |
| 1710212774 | North Shore Vein PC | Surgery | 1 Hollow Ln, Suite 208, New Hyde Park, NY 11042-1215 | 2009-10-08 |
| 1275708711 | Aleksandra Policha | Surgery | 1999 Marcus Ave, Suite 106 B, New Hyde Park, NY 11042-1033 | 2008-04-25 |
| 1649358987 | William Doscher | Surgery | 2001 Marcus Ave, Suite S50, New Hyde Park, NY 11042-1011 | 2006-11-02 |
| 1053499392 | Omid Rahmani | Surgery | 2001 Marcus Ave, Suite S50, New Hyde Park, NY 11042-1011 | 2006-11-02 |
| 1497833743 | Vascular Associates of Long Island | Surgery | 2001 Marcus Ave, Suite S50, New Hyde Park, NY 11042-1011 | 2006-11-02 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC.
| 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.