NORTH SHORE MEDICAL GROUP (NPI# 1790938595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790938595 |
| Entity Type | Organization |
| 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 | 2008-10-24 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | JANET STREET (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6313513700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NORTH SHORE MEDICAL GROUP, INC. | 496 Lynnfield St., Lynn, MA 01904 |
| 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 |
| 1639317043 | North Shore Medical Group of Mt Sinai School of Medicine | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2009-01-23 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153825 | Amjad H. Alwaal | Urology | 1115 20th St Ste 107, Huntington, WV 25703-0003 | 2013-10-15 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1245310762 | Huntington Urological Assoc Lab | Urology | 2860 3rd Avenue, Suite 230, Huntington, WV 25702-1453 | 2006-10-17 |
| 1649286568 | Charles T. Hennings | Urology | 634 Park Ave, Huntington, NY 11743-3833 | 2006-07-31 |
| 1295734598 | Eric J Sacknoff | Urology | 2900 1st Ave Ste 230, Huntington, WV 25702-1241 | 2005-07-19 |
| 1699772665 | Charles Stephen Woolums | Urology | 5170 Us Route 60, Huntington, WV 25705-2004 | 2005-07-05 |
| 1215932785 | George R Beneke | Urology | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2005-06-20 |
| 1033340013 | Kip L Bodi Physician Facs Pllc | Urology | 775 Park Ave, Suite 262, Huntington, NY 11743-3976 | 2009-08-07 |
| 1851562342 | Paul Jason Shannon | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2008-03-12 |
| 1366649642 | Rocco Anthony Morabito Jr. | Urology | 2860 3rd Ave, Suite 230, Huntington, WV 25702-1454 | 2007-06-29 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
Please comment or provide details below to improve the information on NORTH SHORE MEDICAL GROUP.
| 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.