SHOREHAM MEDICAL SERVICES PC (NPI# 1659655157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659655157 |
| Entity Type | Organization |
| Organization Name | SHOREHAM MEDICAL SERVICES PC |
| Practice Address |
45 Route 25a Shoreham NY 11786-1389 |
| Practice Telephone | 6317443303 |
| Practice Fax Number | 6317441627 |
| Mailing Telephone | 6317443303 |
| Mailing Fax Number | 6317441627 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | DR. OWEN YEN (SHAREHOLDER) |
| Authorized Official Telephone | 6317443303 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | NY | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
NY | Allopathic & Osteopathic Physicians |
| Street Address |
45 ROUTE 25A |
| City | SHOREHAM |
| State | NY |
| Zip Code | 11786-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700860269 | Jeffrey Kraushaar | Optometrist | 45 Route 25a, Shoreham, NY 11786-1389 | 2005-11-30 |
| 1619336179 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 45 Route 25a, Shoreham, NY 11786-1389 | 2016-02-12 |
| 1669860573 | Shoreham Psychotherapy Services Lcsw Pllc | Social Worker | 45 Route 25a, Suite A2, Shoreham, NY 11786-1389 | 2014-12-30 |
| 1194084913 | Gary P Milack Dpm PC | Clinic/Center | 45 Route 25a, Suite D-1, Shoreham, NY 11786-1389 | 2012-05-14 |
| 1164691879 | Shoreham Medical Services P.C. | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2008-02-27 |
| 1215115605 | Jeffrey Kraushaar | Eyewear Supplier (Equipment, not the service) | 45 Route 25a, Suite 25a, Shoreham, NY 11786-1389 | 2008-02-07 |
| 1033310834 | Charles Richard Hoeg Jr. | Dentist | 45 Route 25a, Suite A1, Shoreham, NY 11786-1389 | 2007-05-30 |
| 1326133646 | Hariton Kousourou | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2006-10-03 |
| 1780779009 | Jennifer Mccann | Physician Assistant | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2006-10-03 |
| 1124111232 | Owen Yen | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831600816 | Lisa Wolf | Social Worker | 45 Route 25, Suite A-2, Shoreham, NY 11786 | 2017-10-18 |
| 1245672476 | Eric Brett Salmonson | Dentist | 47 N. Country Rd., Shoreham, NY 11786 | 2013-07-30 |
| 1275841165 | Kaitlyn Elizabeth Boulukos | Speech-Language Pathologist | 3 Miller Avenue, Shoreham, NY 11786 | 2010-09-14 |
| 1659694123 | Nimisha P Joshi | Pharmacist | 2 Villa Street, Shoreham, NY 11786 | 2010-03-11 |
| 1720300148 | Rita J Shah | Pharmacist | 99-1 Route 25a, Shoreham, NY 11786 | 2010-02-26 |
| 1619299070 | Jayesh K Shah | Pharmacist | 99-1 Rte 25a, Shoreham, NY 11786 | 2010-02-25 |
| 1922250802 | Julianne Marie Smith | Registered Nurse | 45 Rt 25a Suite C, Shoreham, NY 11786 | 2008-10-22 |
| 1326290438 | John M. Aloisio | Dentist | 2 Southgate, Shoreham, NY 11786 | 2008-10-21 |
| 1639345366 | Dawn M Mineo | Nutritionist | 8 Cornell Rd, Shoreham, NY 11786 | 2008-05-02 |
| 1780871103 | Linda Marie Spallina | Social Worker | 9 South Trl, Shoreham, NY 11786 | 2007-09-30 |
| Find all providers in zip 11786 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1164691879 | Shoreham Medical Services P.C. | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2008-02-27 |
| 1124111232 | Owen Yen | Internal Medicine | 45 Route 25a, Suite C, Shoreham, NY 11786-1389 | 2006-10-02 |
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|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
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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.