SOUTH BAY OBGYN PC (NPI# 1376655621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376655621 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY OBGYN PC |
| Other Organization Name | SOUTH BAY OBSTETRICS GYNECOLOGY PC |
| Practice Address |
320 Montauk Hwy South Bay Obgyn PC West Islip NY 11795-4401 |
| Practice Telephone | 6315872500 |
| Practice Fax Number | 6315870292 |
| Mailing Telephone | 6315872500 |
| Mailing Fax Number | 6315870292 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-05-03 |
| Authorized Official Name | MS. DENISE E LESTER (PHYSICIAN PRESIDENT OF PC) |
| Authorized Official Telephone | 6315872500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Bay Obstetrics Gynecology PC | Other Name - Individual/Organization |
| Street Address |
320 MONTAUK HWY SOUTH BAY OBGYN PC |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164484523 | Angelica M Hernandez | Obstetrics & Gynecology | 320 Montauk Hwy, West Islip, NY 11795-4401 | 2006-04-03 |
| 1720305519 | Meghan E Derocchis | Nurse Practitioner | 320 Montauk Hwy, West Islip, NY 11795-4401 | 2010-05-03 |
| 1093907297 | Margarita Jurak | Obstetrics & Gynecology | 320 Montauk Hwy, South Bay Ob/gyn, P.C., West Islip, NY 11795-4401 | 2007-08-13 |
| 1659468932 | Satnam Kaur Sabharwal | Anesthesiology | 320 Montauk Hwy, South Bay Obgyn, P.C., West Islip, NY 11795-4401 | 2006-10-06 |
| 1578675922 | John A Pallotta | Obstetrics & Gynecology | 320 Montauk Hwy, South Bay Obgyn PC, West Islip, NY 11795-4401 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730286485 | Athanasios Antoniadis | Obstetrics & Gynecology | 750 Montauk Hwy, West Islip, NY 11795-4411 | 2006-09-17 |
| 1699887034 | Denise E Lester | Obstetrics & Gynecology | 320 Montauk Highway, South Bay Obgyn PC, West Islip, NY 11795-4401 | 2006-08-31 |
| 1477595882 | Comprehensive Obstetrics & Gynecology of Long Island Pllc | Obstetrics & Gynecology | 556 Montauk Hwy, West Islip, NY 11795-4407 | 2006-06-11 |
| 1427497494 | Steven Sheng | Obstetrics & Gynecology | 1000 Montauk Hwy, Good Samaritan Hospital Medical Center, West Islip, NY 11795-4927 | 2013-06-22 |
| 1144573817 | Joseph Livoti Md PC | Obstetrics & Gynecology | 400 Montauk Hwy, Suite 107, West Islip, NY 11795-4429 | 2012-10-18 |
| 1265796536 | Laura J Sheridan-kelchner | Obstetrics & Gynecology | 556 Montauk Hwy, West Islip, NY 11795-4407 | 2012-07-01 |
| 1245594746 | Leonard M Kagan M D P C | Obstetrics & Gynecology | 1111 Montauk Hwy, West Islip, NY 11795-4910 | 2012-06-28 |
| 1942576459 | Angeline B Seah | Obstetrics & Gynecology | 320 Montauk Highway, South Bay Obgyn, West Islip, NY 11795 | 2012-03-29 |
| 1699064691 | Kristin Lynette Sharar | Obstetrics & Gynecology | 320 Montauk Highway, University Associates In Obstetrics & Gynecology, Ufpc, West Islip, NY 11795-8091 | 2011-03-31 |
| 1073820775 | Mona Aliuddin-khan | Obstetrics & Gynecology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2010-09-02 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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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.