NORTHPORT VAMC (NPI# 1215982897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215982897 |
| Entity Type | Organization |
| Organization Name | NORTHPORT VAMC |
| Other Organization Name | BAY SHORE VA CLINIC |
| Practice Address |
132 E Main St Bay Shore NY 11706-8302 |
| Mailing Address |
Po Box 3023 Lebanon PA 17042-3023 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bay Shore VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821044116 | Northport Vamc | Clinic/Center | 99 S Central Ave, Valley Stream, NY 11580-5409 | 2006-05-26 |
| 1508264151 | Northport Vamc | Clinic/Center | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-12-15 |
| 1326446972 | Northport Vamc | Clinic/Center | 79 Middleville Rd, Northport, NY 11768-2200 | 2014-12-15 |
| 1164519484 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, 116a, Northport, NY 11768-2200 | 2006-10-06 |
| 1700820438 | Northport Vamc | Clinic/Center | 4 Phyllis Dr, Patchogue, NY 11772-2900 | 2006-06-15 |
| 1013955566 | Northport Vamc | Clinic/Center | 2201 Hempstead Tpke, Building Q, East Meadow, NY 11554-1859 | 2006-06-04 |
| 1841238862 | Northport Vamc | Clinic/Center | 300 Center Dr, Riverhead, NY 11901-3393 | 2006-06-03 |
| 1033169412 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, Bldg 200, Northport, NY 11768-2200 | 2006-05-10 |
| 1659339265 | Northport Vamc | Department of Veterans Affairs (VA) Pharmacy | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-05-03 |
| Street Address |
132 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184148082 | Kelly Yu | Psychologist | 132 E Main St, Bay Shore, NY 11706-8302 | 2017-08-01 |
| 1316340490 | Desiree Romaguera | Psychologist | 132 E Main St, Bay Shore, NY 11706-8302 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1538350616 | Vet Center | Clinic/Center | 17 Computer Dr W, Albany, NY 12205-1614 | 2007-08-05 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1174563548 | Soho Community Clinic | Clinic/Center | 245 W Houston St, Room 313, New York, NY 10014-4805 | 2006-06-07 |
| 1487693362 | New York Vamc | Clinic/Center | 1150 South Ave, 3rd Floor-suite 301, Staten Island, NY 10314-3404 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
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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.