NORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE (NPI# 1639317043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639317043 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | NORTH SHORE MEDICAL GROUP |
| Practice Address |
21 Southdown Rd Huntington NY 11743-2538 |
| Practice Telephone | 6313513763 |
| Practice Fax Number | 6313858210 |
| Mailing Telephone | 6313513763 |
| Mailing Fax Number | 6313858210 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | MS. JANET STREET (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6313513703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003121013 | North Shore Medical Group of Mt Sinai School of Medicine | Internal Medicine | 201 Portion Rd, Suite C, Lake Ronkonkoma, NY 11779-4172 | 2010-08-13 |
| Street Address |
21 SOUTHDOWN RD |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497706501 | Peter Grieco | Physical Therapist | 21 Southdown Rd, Huntington, NY 11743-2538 | 2006-05-13 |
| 1134609613 | Victoria J Mealey | Physical Therapist | 21 Southdown Rd, Huntington, NY 11743-2538 | 2018-08-15 |
| 1154707636 | Harbor Physical Therapy, P.C. | Clinic/Center | 21 Southdown Rd, Huntington, NY 11743-2538 | 2015-08-06 |
| 1790938595 | North Shore Medical Group | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2008-10-24 |
| 1851562342 | Paul Jason Shannon | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2008-03-12 |
| 1982614350 | Ferdinand C. Diblasio | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346531654 | Southern Tier Urology Clinic | Urology | 3359 Laurie Brook Dr, Binghamton, NY 13903-3153 | 2011-04-21 |
| 1194027755 | Ig Medical P.c | Urology | 570 W 204th St Apt 1j, New York, NY 10034-4011 | 2010-12-02 |
| 1871885087 | Julia Beth Finkelstein | Urology | 3959 Broadway, New York, NY 10032-1559 | 2011-05-05 |
| 1114219656 | Jennifer E. Reifsnyder | Urology | 1999 Marcus Ave Ste M18, New Hyde Park, NY 11042-1023 | 2011-05-03 |
| 1558651398 | Bradley Andrew Morganstern | Urology | 1999 Marcus Ave Ste M18, New Hyde Park, NY 11042-1023 | 2011-04-13 |
| 1104124379 | Suny Health Science Center At Brooklyn | Urology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477850147 | Beer & Beer Md Pllc | Urology | 711 Troy Schenectady Rd, Suite 119, Latham, NY 12110-2442 | 2011-02-16 |
| 1821244724 | Ardavan Akhavan | Urology | 525 E 68th St, Box 94, Rm F931, New York, NY 10065-4870 | 2008-08-11 |
| 1821264946 | Matthew D Mason | Urology | 750 E Adams St, Upstate Medical University - Department of Urology, Syracuse, NY 13210-2306 | 2008-05-08 |
| 1518157445 | Bijal Shah Modi | Urology | 381 Park Ave S, Suite 1020, New York, NY 10016-8806 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
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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.