NORTH SHORE DIGESTIVE MEDICINE PC (NPI# 1407114960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407114960 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE DIGESTIVE MEDICINE PC |
| Practice Address |
50 Route 111 Suite 302 Smithtown NY 11787-3738 |
| Practice Telephone | 5164889427 |
| Practice Fax Number | 8005573140 |
| Mailing Telephone | 5164889427 |
| Mailing Fax Number | 8005573140 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | DR. FARZAD FOROHAR (MEMBER) |
| Authorized Official Telephone | 5164889427 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
50 ROUTE 111 SUITE 302 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285603746 | Farzad Forohar | Internal Medicine | 50 Route 111, Suite 302, Smithtown, NY 11787-3738 | 2006-03-16 |
| 1396003851 | Alan L Spielberg Md PC | Internal Medicine | 50 Route 111, Suite 302, Smithtown, NY 11787-3738 | 2012-05-02 |
| 1659639110 | Smithtown Health LLC | Internal Medicine | 50 Route 111, Suite 302, Smithtown, NY 11787-3738 | 2012-05-02 |
| 1821361478 | Haidee Ganz-bonhurst P.t., P.C. | Clinic/Center | 50 Route 111, Suite 103, Smithtown, NY 11787-3738 | 2012-02-13 |
| 1235348277 | North Shore Orthodontics | Dentist | 50 Route 111, Suite 214, Smithtown, NY 11787-3700 | 2007-05-22 |
| 1447468533 | Howard Burger | Dentist | 50 Route 111, Suite 212, Smithtown, NY 11787-3700 | 2007-05-20 |
| 1245444165 | Glen Korsen | Dentist | 50 Route 111, Suite 214, Smithtown, NY 11787-3700 | 2007-05-09 |
| 1801924824 | Laura Teresa Rivela | Social Worker | 50 Route 111, Suite 204, Smithtown, NY 11787 | 2007-03-01 |
| 1205994878 | Robert L Wagner | Dentist | 50 Route 111, Suite 301, Smithtown, NY 11787-3700 | 2006-12-05 |
| 1508935438 | Dimitrios Kilimitzoglou | Dentist | 50 Route 111, Suite 200, Smithtown, NY 11787-3738 | 2006-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285603746 | Farzad Forohar | Internal Medicine | 50 Route 111, Suite 302, Smithtown, NY 11787-3738 | 2006-03-16 |
| 1477551091 | Ravi S Ainapudi | Internal Medicine | 317 Middle Country Rd, Suite 1, Smithtown, NY 11787-2818 | 2005-07-08 |
| 1396003851 | Alan L Spielberg Md PC | Internal Medicine | 50 Route 111, Suite 302, Smithtown, NY 11787-3738 | 2012-05-02 |
| 1659639110 | Smithtown Health LLC | Internal Medicine | 50 Route 111, Suite 302, Smithtown, NY 11787-3738 | 2012-05-02 |
| 1851533699 | Richard Charles Feldstein | Internal Medicine | 48 Route 25a, Suite 107, Smithtown, NY 11787-1431 | 2009-03-25 |
| 1760607311 | Robert M Lazar Md PC | Internal Medicine | 48 Route 25a, Suite 107, Smithtown, NY 11787 | 2007-04-16 |
| 1164554622 | Alan L Spielberg | Internal Medicine | 48 Route 25a, Suite 203, Smithtown, NY 11787-1431 | 2007-03-11 |
| 1730164179 | Robert Michael Lazar | Internal Medicine | 48 Route 25a, Ste 107, Smithtown, NY 11787-1431 | 2005-12-08 |
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|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
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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.