FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC (NPI# 1568926822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568926822 |
| Entity Type | Organization |
| Organization Name | FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC |
| Practice Address |
30 Seaside Dr Port Jefferson NY 11777-1132 |
| Practice Telephone | 6319873705 |
| Mailing Telephone | 6319873705 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | DR. FREDERIC A MENDELSOHN (OWNER/MD) |
| Authorized Official Telephone | 6319873705 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00655156 | 05 |
| Street Address |
30 SEASIDE DR |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639580244 | Julian Felder | Radiology | 20 Markwood Rd, Forest Hills, NY 11375-6050 | 2014-05-16 |
| 1982045845 | Reade Andrew De Leacy | Radiology | 1450 Madison Avenue, Box 1136, Klingenstein Clinical Center, 1-north, New York, NY 10029-6574 | 2013-07-08 |
| 1053653733 | Joanne Michelle Rispoli | Radiology | 560 1st Ave # 2, New York, NY 10016-6402 | 2013-03-20 |
| 1619215167 | Asim Maher | Radiology | 8342 241st St, Bellerose, NY 11426 | 2013-01-17 |
| 1568727121 | Akm Ashfaqur Rahman | Radiology | 23 Hadley Ct, Pittsford, NY 14534-2838 | 2012-07-10 |
| 1740554286 | Branch Medical, PC | Radiology | 35 Pinelawn Rd., Suite 112, Melville, NY 11747 | 2012-03-01 |
| 1437426483 | John William Duncan | Radiology | 7 E 14th St Apt 201, New York, NY 10003-3117 | 2011-11-18 |
| 1750685806 | Prachi Dubey | Radiology | 630 W168th Street # 28, New York, NY 10032 | 2011-01-04 |
| 1275850810 | Joseph Dobtsis | Radiology | 1445 Shore Pkwy Apt 4t, Brooklyn, NY 11214-6142 | 2010-04-21 |
| 1801112339 | Anju Dubey | Radiology | 622 W 168th St # Pb1-301, New York, NY 10032-3720 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC.
| 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.