NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC (NPI# 1396794574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396794574 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC |
| Practice Address |
49 Nesconset Hwy Port Jefferson Station NY 11776 |
| Mailing Address |
1500 Route 112 Ste 101 Port Jefferson Station NY 11776-8054 |
| Practice Telephone | 6317513000 |
| Practice Fax Number | 6315096559 |
| Mailing Telephone | 6317513000 |
| Mailing Fax Number | 6315096559 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | PATRICIA DANDRAIA (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6317513000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RR MEDICARE | CC5178 | 01 |
| NY | 00679947 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 235 N Belle Mead Rd, East Setauket, NY 117333456 | 6317513000 | 6317513366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1457831018 | North Shore Hematology Oncology Associates PC | Internal Medicine | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2018-08-14 |
| Street Address |
49 NESCONSET HWY |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486443 | Regina L Jablonski | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2005-06-09 |
| 1215545314 | Michel Schwartz | Nurse Practitioner | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2020-07-15 |
| 1164899605 | North Shore Hematology/oncology Associates PC | Clinic/Center | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2015-09-01 |
| 1992148647 | Naveed Hassan Akhtar | Family Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2013-04-12 |
| 1649531815 | Joshua Harris | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2012-06-05 |
| 1477843100 | George Cyriac | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2011-04-14 |
| 1891094447 | Adriana Guigova | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2011-03-22 |
| 1972765733 | Jerry Jacob George | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2008-07-01 |
| 1750585287 | David Tin Chu | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2007-06-11 |
| 1932103330 | William J Li Pera | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2005-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046924 | Meredith Marie Kosinski | Specialist | 257 Sagamore Hills Dr, Port Jefferson Station, NY 11776-3530 | 2020-09-01 |
| 1588205918 | Ehrin Rene Catalano | Specialist | 1 Foxrun Ct, Port Jefferson Station, NY 11776-1385 | 2019-10-07 |
| 1821590753 | Jaclyn M Valentino | Specialist | 308 Sara Cir, Port Jefferson Station, NY 11776-2739 | 2018-03-07 |
| 1013440601 | Kristina Fowler | Specialist | 16 Superior St, Port Jefferson Station, NY 11776-4330 | 2017-04-10 |
| 1134666522 | Emily Samuels | Specialist | 406 Sara Cir, Port Jefferson Station, NY 11776-2740 | 2017-01-24 |
| 1376089292 | Michelle Denhartog | Specialist | 12 Woods Dr, Port Jefferson Station, NY 11776-3600 | 2017-01-17 |
| 1164970257 | James Fernandes II | Specialist | 10 Winston Ln, Port Jefferson Station, NY 11776-3324 | 2016-09-17 |
| 1932550878 | Kate Nicole Colucci | Specialist | 49 Penn St, Port Jefferson Station, NY 11776-3807 | 2016-06-22 |
| 1043660574 | Lauren Jeanine Faulhaber | Specialist | 516 Bicycle Path, Port Jefferson Station, NY 11776-3433 | 2016-06-15 |
| 1306209069 | Heather Castle | Specialist | 21 Joline Rd, Port Jefferson Station, NY 11776-3305 | 2016-03-31 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC.
| 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.