NORTH SHORE ANESTHESIA GROUP (NPI# 1174004477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174004477 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE ANESTHESIA GROUP |
| Other Organization Name | CENTRAL ISLAND HOSPITAL |
| Practice Address |
11-52 Engineers St Haupphauge NY 11788 |
| Mailing Address |
15 Columbus Ave Kings Park NY 11754-4902 |
| Practice Telephone | 6319879643 |
| Mailing Telephone | 6319879643 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | MR. RYAN BARKEY (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 6319879643 |
| Authorized Official Credential | RDA-A, FASMLAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DOH DISPOSITION CODE | 533 | 01 |
| Other Name | Type Code |
|---|---|
| Central Island Hosp. | Doing Business As Name - Organization |
| Central Island Hosp. Provider Group | Other Name - Individual/Organization |
| Central Island Hospital | Doing Business As Name - Organization |
| CIH | Doing Business As Name - Organization |
| CIH CCAH | Doing Business As Name - Organization |
| The Medical Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Columbus Ave, Kings Park, NY 117544902 | 6319879643 |
| Street Address |
11-52 ENGINEERS ST |
| City | HAUPPHAUGE |
| State | NY |
| Zip Code | 11788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| 1306275052 | Ann Carpentiere | Social Worker | North Cp0unty Complex, Building C928, Vets Memorial Highway, Hauppauge, NY 11788 | 2013-11-04 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740658277 | Saint Barnabas Health System | General Acute Care Hospital | 2132 Wallace Ave, Apt-242, Bronx, NY 10462-2573 | 2015-09-15 |
| 1124412101 | Matthew Scott Stephany | General Acute Care Hospital | 356 Brush Creek Dr, Rochester, NY 14612-2270 | 2015-03-26 |
| 1235522764 | Lei Meng | General Acute Care Hospital | 39 Claremont Ave, Apt 82, New York, NY 10027 | 2015-03-09 |
| 1225437650 | 37th Ave Pharmacy Inc | General Acute Care Hospital | 9507 37th Ave, Jackson Heights, NY 11372-8024 | 2014-08-21 |
| 1326454372 | Liza John | General Acute Care Hospital | 97 Beaumont Cir, Apt-1, Yonkers, NY 10710-2032 | 2014-07-09 |
| 1699106187 | Nslij | General Acute Care Hospital | 1999 Marcus Ave Ste 106c, New Hyde Park, NY 11042-1028 | 2013-12-09 |
| 1588005466 | Newyork Presbyterian Hospital | General Acute Care Hospital | 109 Alpine Rd, Yonkers, NY 10710-2022 | 2013-07-08 |
| 1548601578 | New York Community Hospital, Brooklyn | General Acute Care Hospital | 8922 133rd St, 2nd Floor, Richmond Hill, NY 11418-2813 | 2013-07-06 |
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1417205931 | Harlem Hospital | General Acute Care Hospital | 506 Lenox Avenue, 14th Floor, Room 106, New York, NY 10037 | 2012-08-15 |
| Find all providers with the same taxonomy | ||||
| City | HAUPPHAUGE |
| Zip Code | 11788 |
Please comment or provide details below to improve the information on NORTH SHORE ANESTHESIA GROUP.
| 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.