NASSAU SPINE INTRAOP MONITORING MEDICAL (NPI# 1659918316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659918316 |
| Entity Type | Organization |
| Organization Name | NASSAU SPINE INTRAOP MONITORING MEDICAL |
| Practice Address |
900 Franklin Ave Valley Stream NY 11580-2145 |
| Mailing Address |
30 Merrick Ave Ste 103 East Meadow NY 11554-1580 |
| Practice Telephone | 5167439450 |
| Mailing Telephone | 5167439450 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | DR. KANWARPAUL GREWAL (OWNER) |
| Authorized Official Telephone | 5167439450 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | NASSAU SPINE TEACHNICAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03918421 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Montauk Hwy, West Islip, NY 117954927 | 5167439450 | |
| 1000 N Village Ave, Rockville Centre, NY 115701000 | 5167439405 | |
| 270 Park Ave, Huntington, NY 117432799 | 5167439450 | |
| 4295 Hempstead Tpke, Bethpage, NY 117145713 | 5167439450 |
| Street Address |
900 FRANKLIN AVE |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639591 | Jerald Darvishzadeh | Anesthesiology | 900 Franklin Ave, Anesthesia Department, Valley Stream, NY 11580-2145 | 2005-06-15 |
| 1205442100 | Madeleine Ann Reyes | Surgery | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-09-17 |
| 1376153700 | Mei L Lu | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-31 |
| 1508484858 | Virghinya Ridwan | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-13 |
| 1588298806 | Melissa Lopez | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-02-25 |
| 1841841145 | Hannah Elizabeth Mathew | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-27 |
| 1972154565 | Karim Mohamed | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-25 |
| 1992354427 | Jessy Mathew | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-07 |
| 1073162913 | Nicholas Crozier | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-04 |
| 1790332161 | Joann Barthelemy | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782778 | Medical Serrvices of Lynbrook PC | Specialist/Technologist, Other | 1101 Stewart Ave Ste 100, Garden City, NY 11530-4833 | 2020-02-14 |
| 1568092005 | Justin Ian Shmuel | Specialist/Technologist, Other | 300 Knollwood Rd, White Plains, NY 10607-1217 | 2020-01-23 |
| 1881242527 | Amy Cohen | Specialist/Technologist, Other | 7 Linda Dr, Suffern, NY 10901-3003 | 2019-08-27 |
| 1336793520 | Deven Coons | Specialist/Technologist, Other | 32 Spring Creek Dr Apt 304, Pleasant Valley, NY 12569-5738 | 2019-07-26 |
| 1235790015 | Nassau Spine Technical LLC | Specialist/Technologist, Other | 2594 8th Ave, East Meadow, NY 11554-3253 | 2019-06-24 |
| 1710545447 | Value Monitoring, LLC | Specialist/Technologist, Other | 911 Central Ave Ste 24, Albany, NY 12206-1304 | 2019-05-29 |
| 1437618121 | Sara Gabriele Mermelstein | Specialist/Technologist, Other | 140 Adams Ave Ste B14, Hauppauge, NY 11788-3618 | 2019-03-13 |
| 1275009045 | Albina Geleta | Specialist/Technologist, Other | 140 Adams Ave Ste B13, Hauppauge, NY 11788-3618 | 2018-10-19 |
| 1255839973 | Ali Rodriguez | Specialist/Technologist, Other | 6 Barnside Ln, Glen Head, NY 11545-2732 | 2018-01-29 |
| 1831574250 | Neuro Alert Services LLC | Specialist/Technologist, Other | 399 Knollwood Rd Ste 108, White Plains, NY 10603-1916 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on NASSAU SPINE INTRAOP MONITORING MEDICAL.
| 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.