NORTH SHORE UNIVERSITY HOSPITAL (NPI# 1457647299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457647299 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE UNIVERSITY HOSPITAL |
| Practice Address |
600 Community Dr Manhasset NY 11030-3802 |
| Practice Telephone | 5168238855 |
| Mailing Telephone | 5168238855 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | JEREMY BOAL (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5168238855 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | F305250-1 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932472107 | North Shore University Hospital | Case Management | 3333 New Hyde Park Rd Ste 317, New Hyde Park, NY 11042-1205 | 2012-02-17 |
| 1356635494 | North Shore University Hospital | General Acute Care Hospital | 211-21 46 Ave, Bayside, NY 11361 | 2011-06-07 |
| 1295742468 | North Shore University Hospital | Psychiatric Unit | Nsuh At Syosset Hospital, 221 Jericho Turnpike, Syosset, NY 11791 | 2006-08-01 |
| 1861464471 | North Shore University Hospital | Home Health | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2006-02-07 |
| 1629312293 | North Shore University Hospital | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2012-11-20 |
| 1609146174 | North Shore University Hospital | General Acute Care Hospital | 300 Community Dr, Pre-admission Testing, Manhasset, NY 11030-3816 | 2011-12-30 |
| 1356639827 | North Shore University Hospital | Student in an Organized Health Care Education/Training Program | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2011-07-18 |
| 1285928044 | North Shore University Hospital | General Acute Care Hospital | 300 Community Dr, Department of Radiology, Manhasset, NY 11030-3816 | 2011-06-08 |
| 1497084016 | North Shore University Hospital | General Acute Care Hospital | 300 Community Dr, 4 Levitt, Manhasset, NY 11030-3816 | 2009-12-10 |
| 1205062502 | North Shore University Hospital | Pharmacy | 300 Community Dr, Vivo Health Pharmacy At Manhasset, Manhasset, NY 11030-3816 | 2009-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH SHORE UNIVERSITY HOSPITAL | 300 Community Dr, Manhasset, NY 11030-3816 |
| New York State Corporations | NORTH SHORE UNIVERSITY HOSPITAL MEDICAL STAFF SOCIETY, INC. | 60 Cutter Mill Road, Suite 500, Great Neck, Ny 11021 |
| Street Address |
600 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491581 | Tara A Liberman | Internal Medicine | 600 Community Dr, Suite 304, Manhasset, NY 11030 | 2005-07-15 |
| 1386283232 | Soledad Demicheri | Nurse Practitioner | 600 Community Dr, Manhasset, NY 11030-3802 | 2019-12-24 |
| 1972085678 | Kareem Nugdalla | Nurse Practitioner | 600 Community Dr, Manhasset, NY 11030-3802 | 2018-08-30 |
| 1427537232 | Jing Lee | Nurse Practitioner | 600 Community Dr, Manhasset, NY 11030-3802 | 2018-08-13 |
| 1861983827 | Amy Ferrara | Registered Nurse | 600 Community Dr, Manhasset, NY 11030-3802 | 2018-05-25 |
| 1427546928 | Micole Galapo-goldstein | Nurse Practitioner | 600 Community Dr, Manhasset, NY 11030-3802 | 2018-04-30 |
| 1962910307 | Christina Marie Bognacki | Nurse Practitioner | 600 Community Dr, Manhasset, NY 11030-3802 | 2018-01-19 |
| 1417492273 | Julie Kramer | Dietitian, Registered | 600 Community Dr, Manhasset, NY 11030-3802 | 2017-01-03 |
| 1619340486 | Anthony Quintana | Physician Assistant | 600 Community Dr, Manhasset, NY 11030-3802 | 2015-11-02 |
| 1821466905 | Anna Woolfolk | Physician Assistant | 600 Community Dr, Suite 304, Manhasset, NY 11030-3802 | 2015-09-08 |
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| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174992986 | Lakshmi Haridat-shivnarain | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030 | 2015-09-22 |
| 1710363361 | Northshore Lij Health System | General Acute Care Hospital | 302 Community Dr, Manhasset, NY 11030-3804 | 2015-08-05 |
| 1033503354 | North Shore-lij Health System | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2015-03-25 |
| 1669881116 | Tagir Sabirov | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2014-08-08 |
| 1487068987 | Jessica Schreiber-zinaman | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2014-06-12 |
| 1881018224 | Homaira Omar | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2014-02-05 |
| 1043647563 | North Shore Lij | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2013-09-29 |
| 1629312293 | North Shore University Hospital | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2012-11-20 |
| 1609146174 | North Shore University Hospital | General Acute Care Hospital | 300 Community Dr, Pre-admission Testing, Manhasset, NY 11030-3816 | 2011-12-30 |
| 1942588223 | North-shore Hospital | General Acute Care Hospital | 300 Community Dr, Manhasset, NY 11030-3816 | 2011-08-03 |
| Find all providers in MANHASSET | ||||
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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.