NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE (NPI# 1669854824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669854824 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE |
| Other Organization Name | NORTH SHORE MEDICAL GROUP |
| Practice Address |
1436 Broadway Hewlett NY 11557-1405 |
| Practice Telephone | 9292106570 |
| Practice Fax Number | 9292106571 |
| Mailing Telephone | 9292106570 |
| Mailing Fax Number | 9292106571 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MS. ALICIA GRESHAM (VP NETWORK OPERATIONS) |
| Authorized Official Telephone | 2126599038 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNT SINAI MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497150098 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 61 E Main St, Bay Shore, NY 11706-8366 | 2014-10-27 |
| 1598199432 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 61 Southern Blvd, Nesconset, NY 11767-1089 | 2013-08-28 |
| 1245586528 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 48 Route 25a, Suite 303, Smithtown, NY 11787-1431 | 2012-07-24 |
| 1962646091 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2009-04-20 |
| 1164623278 | North Shore Medical Group of The Mount Sinai School of Medicine | Dermatology | 775 Park Ave, Huntington, NY 11743-3976 | 2007-05-29 |
| 1144431701 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 66 Commack Rd, Commack, NY 11725-3405 | 2007-05-25 |
| 1649382532 | North Shore Medical Group of The Mount Sinai School of Medicine | Allergy & Immunology | 241 E Main St, Huntington, NY 11743-2924 | 2006-08-31 |
| 1902918899 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 120 New York Ave, Huntington, NY 11743-2743 | 2006-08-31 |
| 1275640609 | North Shore Medical Group of The Mount Sinai School of Medicine | Psychiatry & Neurology | 5 Cuba Hill Rd, Greenlawn, NY 11740-1624 | 2006-08-23 |
| Street Address |
1436 BROADWAY |
| City | HEWLETT |
| State | NY |
| Zip Code | 11557-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922075415 | Zev Carrey I | Internal Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2006-03-02 |
| 1700178969 | Natacha M Tamdji | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2011-05-06 |
| 1588981070 | Carolina Murray | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2010-04-23 |
| 1982833646 | Betsy Koickel | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2009-07-02 |
| 1427109990 | Diana Oneill | Nurse Practitioner | 1436 Broadway, Hewlett, NY 11557-1405 | 2007-01-12 |
| 1215090949 | Joann Carcaterra | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2006-12-17 |
| 1386713055 | Daniel David Sacolick | Internal Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2006-11-07 |
| 1124128178 | Joan E Altman Neumann | Obstetrics & Gynecology | 1436 Broadway, Hewlett, NY 11557-1405 | 2006-09-22 |
| 1235172602 | Donald Peter Lawrence | Pediatrics | 1436 Broadway, Hewlett, NY 11557-1405 | 2006-06-14 |
| 1093766578 | Madeline Rose Lalia | Pediatrics | 1436 Broadway, Hewlett, NY 11557-1405 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073116 | Christina M Ganci | Social Worker | 1355 Noel Avenue, Hewlett, NY 11557 | 2020-01-30 |
| 1750945614 | Betsy Lantner Md Obgyn Pllc | Obstetrics & Gynecology | 1571 Broadway, Hewlett, NY 11557 | 2019-04-26 |
| 1699216671 | Heather Murphy | Specialist | 383 Hamilton Ave, Hewlett, NY 11557 | 2017-03-10 |
| 1891070561 | Howard Shulman | Obstetrics & Gynecology | 178 Torquay Pl, Hewlett, NY 11557 | 2011-10-13 |
| 1467731927 | Kidz Discovery Inc. | Early Intervention Provider Agency | 1234 West Broadway Ste. 201, Hewlett, NY 11557 | 2011-08-15 |
| 1376844324 | Martin J. Evans | Pediatrics | 198 Woodside Dr., Hewlett, NY 11557 | 2010-11-08 |
| 1154566511 | Beth Marlene Swedarsky | Speech-Language Pathologist | 157 Harris Avenue, Hewlett, NY 11557 | 2008-12-12 |
| 1801074992 | Jay Horowitz | Social Worker | 1104 Westwood Rd, Hewletter, NY 11557 | 2008-01-31 |
| 1134126188 | Steven Bruce Epstein | Podiatrist | 1175 W Broadway, Suite 10, Hewlett, NY 11557 | 2005-07-06 |
| 1063414282 | Richard Louis Markowitz | Internal Medicine | 1553 Broadway, Hewlett, NY 11557 | 2005-06-01 |
| Find all providers in zip 11557 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891974176 | Theodora Kay-njemanze | Family Medicine | 1245 Hewlett Plz, Hewlett, NY 11557-4000 | 2007-11-02 |
| 1881938009 | Barbara Mandell, Md, Facp, LLC | Family Medicine | 1490 Broadway, Hewlett, NY 11557-0000 | 2012-11-15 |
| 1700178969 | Natacha M Tamdji | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2011-05-06 |
| 1588981070 | Carolina Murray | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2010-04-23 |
| 1982833646 | Betsy Koickel | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2009-07-02 |
| 1215090949 | Joann Carcaterra | Family Medicine | 1436 Broadway, Hewlett, NY 11557-1405 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
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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.