NORTH SHORE - LIJ HEALTH SYSTEM (NPI# 1295852192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295852192 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE - LIJ HEALTH SYSTEM |
| Practice Address |
1554 Northern Blvd Pm&r Manhasset NY 11030-3006 |
| Mailing Address |
3 Cornwall Ln Apt A1j Carle Place NY 11514-1086 |
| Practice Telephone | 5166278670 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JUSTIN ETTINGER (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5166278470 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
026037 | NY | Ambulatory Health Care Facilities |
| Street Address |
1554 NORTHERN BLVD PM&R |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740279785 | Christine Moore | Genetic Counselor, MS | 1554 Northern Blvd, Suite 204-nsuh Division of Medical Genetics, Manhasset, NY 11030-3006 | 2005-10-20 |
| 1780222497 | Margaret Scheidel | Occupational Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3053 | 2019-12-12 |
| 1407493547 | Gina Labbate | Occupational Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3053 | 2019-12-09 |
| 1174160287 | Taylor Silberglied | Occupational Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3053 | 2019-12-09 |
| 1720625874 | Christa M Accardi | Occupational Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3053 | 2019-12-09 |
| 1962049049 | Krista Ziegler | Physical Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3053 | 2019-12-08 |
| 1801371083 | Jessica Ann Calabro | Physical Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3006 | 2018-10-03 |
| 1023505435 | Erica Pauline Meltzer | Clinical Neuropsychologist | 1554 Northern Blvd, Manhasset, NY 11030-3006 | 2018-04-20 |
| 1104343482 | Andrew James Panciroli | Physical Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3006 | 2017-08-28 |
| 1225571409 | William F Ott | Physical Therapist | 1554 Northern Blvd, Manhasset, NY 11030-3006 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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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.